Active NPI
Gentle Hands Support Services
- In Home Supportive Care Agency
- Portland, ME
National Provider Identifier
1528875010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- GENTLE HANDS SUPPORT SERVICES
- Practice address
- 415 Congress St Ste 423
Portland, ME 04101-3500 - Phone
- (612) 644-7231
- NPI assigned
- Dec 17, 2024
- Last updated
- Jan 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mohomed Abdi Elmi
- Title
- Owner
- Phone
- (612) 644-7231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
415 Congress St Ste 423
Portland, ME 04101-3500
Mailing address
12215 3Rd St NE
Blaine, MN 55434-1981
Phone (952) 254-0685
National Provider Directory
National Provider DirectoryLocations
415 Congress St
Ste 423
Portland, ME 04101
Phone (612) 644-7231
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Community Health Worker
- Blaine, MN
- NPI 1376388942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737936000000",
"number": "1528875010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12215 3RD ST NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554341981",
"telephone_number": "952-254-0685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 CONGRESS ST STE 423",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013500",
"telephone_number": "612-644-7231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENTLE HANDS SUPPORT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-17",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A",
"authorized_official_last_name": "ELMI",
"authorized_official_first_name": "MOHOMED",
"authorized_official_middle_name": "ABDI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-644-7231",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"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 Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.