Pine Valley Home Care LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

PINE VALLEY HOME CARE LLC

Practice address

173 Water St Apt 1
Waterville, ME 04901-6350

Phone

(207) 458-9338

NPI assigned

May 19, 2025

Organization subpart

No

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

Authorized official

Name

Ihsan Abdalnabi

Title

Owner

Phone

(207) 458-9338

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1720870785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 WATER ST APT 1",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016350",
            "telephone_number": "207-458-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 WATER ST APT 1",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016350",
            "telephone_number": "207-458-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE VALLEY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-18",
        "status": "A",
        "authorized_official_last_name": "ABDALNABI",
        "authorized_official_first_name": "IHSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-458-9338"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Piccini, CADC
• Timothy T Pieh, MD
• Gitali Piekarska Guanel, DO
• Daniel Pierce II
• Pine Tree Eye Associates, PA
• Gabriel Pinnette, LCSW
• Jenny T Pisculli, MD
• Kristyn Elizabeth Plamondon, LCPC-C
• Donnajean Pohlman
• John Philip Poirier, DMD

• Personal Care Attendant in Waterville, ME
• Providers in Waterville, ME by specialty
• Personal Care Attendant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.