Ali Tareq Ashour

Individual provider Active NPI Case Manager/Care Coordinator · Portland, ME

NPI 1497311773 · NPPES record last updated Apr 30, 2025

Key facts

NPI
1497311773
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
License
31673 (ME)
Practice address
PO Box 878
Portland, ME 04104-0878
Phone
(207) 939-8780
NPI assigned
May 13, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
31673MEMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Hand of Mercy Health Care, LLC Current
since Nov 1, 2019
Accepting new patients

Locations

12 Spruce St
Ste 5
Augusta, ME 04330
Phone (207) 329-2838

980 Forest Ave
Ste 106
Portland, ME 04103

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 31673 ME Yes

Addresses

Primary practice location

PO Box 878
Portland, ME 04104-0878

Mailing address

12 Spruce St Ste 5
Augusta, ME 04330-5204
Phone (207) 329-2838

Other providers in Portland, ME

All providers in Portland, ME · Case Manager/Care Coordinator in Maine

Sources for this page

Verify at the official NPI Registry.