Organization Active NPI

Portland Homehealth Care LLC

  • In Home Supportive Care Agency
  • Westbrook, ME
National Provider Identifier
1629766316
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PORTLAND HOMEHEALTH CARE LLC
Practice address
14 Island View Dr Unit 360
Westbrook, ME 04092-4466
Phone
(207) 523-9819
NPI assigned
May 1, 2023
Last updated
May 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Sultan Enan
Title
Manger
Phone
(207) 523-9819

Specialties & licenses 1

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

Addresses

Primary practice location

14 Island View Dr Unit 360
Westbrook, ME 04092-4466

Mailing address

14 Island View Dr Unit 360
Westbrook, ME 04092-4466

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1629766316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ISLAND VIEW DR UNIT 360",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 ISLAND VIEW DR UNIT 360",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924466",
            "telephone_number": "207-523-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND HOMEHEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "ENAN",
        "authorized_official_first_name": "SULTAN",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "207-523-9819"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.