Individual provider Active NPI

Nadege Ariane Umukunzi

  • In Home Supportive Care Agency
  • Portland, ME
National Provider Identifier
1427896901
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
254 Commercial St Ste 245
Portland, ME 04101-4899
Phone
(207) 409-6183
NPI assigned
Jul 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

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

Addresses

Primary practice location

254 Commercial St Ste 245
Portland, ME 04101-4899

Mailing address

254 Commercial St Ste 245
Portland, ME 04101-4899
Phone (207) 409-6183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seniors Homecare LLC In Home Supportive Care Current Accepting new patients
Seniors Greatness Living LLC In Home Supportive Care CurrentSince Sep 1, 2024 Accepting new patients

Locations

254 Commercial St
Ste 245
Portland, ME 04101
Phone (207) 716-5309

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1427896901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 COMMERCIAL ST STE 245",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014899",
            "telephone_number": "207-409-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 COMMERCIAL ST STE 245",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014899",
            "telephone_number": "207-409-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMUKUNZI",
        "first_name": "NADEGE ARIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.