Organization Active NPI

Maine Hearts Home Care LLC

  • In Home Supportive Care Agency
  • Lewiston, ME
National Provider Identifier
1407701667
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MAINE HEARTS HOME CARE LLC
Practice address
9 Walker Ave
Lewiston, ME 04240-5908
Phone
(207) 740-0105
NPI assigned
Mar 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Fulbert Agbovoyessou
Title
DSP
Phone
(207) 740-0105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

9 Walker Ave
Lewiston, ME 04240-5908

Mailing address

9 Walker Ave
Lewiston, ME 04240-5908
Phone (207) 740-0105

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1407701667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WALKER AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405908",
            "telephone_number": "207-740-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WALKER AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405908",
            "telephone_number": "207-740-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE HEARTS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "AGBOVOYESSOU",
        "authorized_official_first_name": "FULBERT",
        "authorized_official_title_or_position": "DSP",
        "authorized_official_telephone_number": "207-740-0105"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.