Organization Active NPI

Gentle Hands Support Services

  • In Home Supportive Care Agency
  • Portland, ME
National Provider Identifier
1528875010
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.