Organization Active NPI

Stature Residential Care LLC

  • Home Health Agency
  • South Portland, ME
National Provider Identifier
1629790878
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STATURE RESIDENTIAL CARE LLC
Practice address
696 Westbrook St Apt 12F
South Portland, ME 04106-1978
Phone
(336) 862-2691
NPI assigned
Sep 14, 2022
Last updated
Sep 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Prince Muhumure, AM
Title
Managing Director
Phone
(336) 862-2691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

696 Westbrook St Apt 12F
South Portland, ME 04106-1978

Mailing address

696 Westbrook St Apt 12F
South Portland, ME 04106-1978
Phone (336) 862-2691

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1629790878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 WESTBROOK ST APT 12F",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061978",
            "telephone_number": "336-862-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 WESTBROOK ST APT 12F",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061978",
            "telephone_number": "336-862-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATURE RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "MUHUMURE",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "336-862-2691",
        "authorized_official_credential": "AM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.