Organization Active NPI

Livingstone Community Health Care & Support Services, LLC

  • Home Health Agency
  • South Portland, ME
National Provider Identifier
1679166482
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIVINGSTONE COMMUNITY HEALTH CARE & SUPPORT SERVICES, LLC
Practice address
10 Red Oak Dr Apt 2D
South Portland, ME 04106-2092
Phone
(207) 332-0119
NPI assigned
Feb 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Authorized official

Name
Mr. Ntiyankundiye Ntiyankundiye, DSP
Title
Ceo
Phone
(207) 332-0119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

10 Red Oak Dr Apt 2D
South Portland, ME 04106-2092

Mailing address

10 Red Oak Dr Apt 2D
South Portland, ME 04106-2092
Phone (207) 332-0119

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1679166482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 RED OAK DR APT 2D",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062092",
            "telephone_number": "207-332-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RED OAK DR APT 2D",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062092",
            "telephone_number": "207-332-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTONE COMMUNITY HEALTH CARE & SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "NTIYANKUNDIYE",
        "authorized_official_first_name": "NTIYANKUNDIYE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-332-0119",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DSP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "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 Feb 12, 2021; 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.