Organization Active NPI

Autumn of Life in Home Care

  • In Home Supportive Care Agency
  • Brewer, ME
National Provider Identifier
1679903736
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AUTUMN OF LIFE IN HOME CARE
Practice address
41 Acme Rd
Suite 1
Brewer, ME 04412-1543
Phone
(207) 217-6026
Fax
(207) 217-6028
NPI assigned
Nov 26, 2013
Last updated
Mar 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Rita Manzo
Title
Owner
Phone
(207) 217-6026

Specialties & licenses 1

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

Addresses

Primary practice location

41 Acme Rd
Suite 1
Brewer, ME 04412-1543

Mailing address

41 Acme Rd
Suite 1
Brewer, ME 04412-2278
Phone (207) 217-6026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1679903736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 ACME RD",
            "address_2": "SUITE 1",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122278",
            "telephone_number": "207-217-6026",
            "fax_number": "207-217-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 ACME RD",
            "address_2": "SUITE 1",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121543",
            "telephone_number": "207-217-6026",
            "fax_number": "207-217-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN OF LIFE IN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "MANZO",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-217-6026"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewer, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.