Organization Active NPI

Havenwood Care of Maine LLC

  • In Home Supportive Care Agency
  • Portland, ME
National Provider Identifier
1487575585
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HAVENWOOD CARE OF MAINE LLC
Practice address
66 Pearl St FL 3
Portland, ME 04101-4165
Phone
(860) 995-2571
NPI assigned
Jul 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Geldon Farah
Title
Owner
Phone
(860) 995-2571

Specialties & licenses 1

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

Addresses

Primary practice location

66 Pearl St FL 3
Portland, ME 04101-4165

Mailing address

66 Pearl St FL 3
Portland, ME 04101-4165

National Provider Directory

National Provider Directory

Locations

66 Pearl St
Fl 3
Portland, ME 04101

NPI Registry JSON

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

{
    "created_epoch": "1784764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1487575585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 PEARL ST FL 3",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 PEARL ST FL 3",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014165",
            "telephone_number": "860-995-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVENWOOD CARE OF MAINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "GELDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-995-2571"
    },
    "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 Jul 23, 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.