Organization Active NPI

Amini Home Services LLC

  • In Home Supportive Care Agency
  • Bangor, ME
National Provider Identifier
1508692013
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AMINI HOME SERVICES LLC
Practice address
700 Main St Ste 3-106
Bangor, ME 04401-6800
Phone
(320) 403-0870
NPI assigned
Sep 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Fardowsa Ibrahim
Title
Co-Owner
Phone
(320) 403-0870

Specialties & licenses 1

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

Addresses

Primary practice location

700 Main St Ste 3-106
Bangor, ME 04401-6800

Mailing address

2501 Londin LN E # 229
Maplewood, MN 55119-6721
Phone (320) 403-0870

National Provider Directory

National Provider Directory

Locations

700 Main St
Ste 3106
Bangor, ME 04401
Phone (320) 403-0870

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1508692013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 LONDIN LN E # 229",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551196721",
            "telephone_number": "320-403-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MAIN ST STE 3-106",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016800",
            "telephone_number": "320-403-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMINI HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "FARDOWSA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "320-403-0870"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.