Organization Active NPI

Yellow Dog Enterprises, Inc.

Doing business as First Light Home Care

  • In Home Supportive Care Agency
  • Casco, ME
National Provider Identifier
1750668018
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
YELLOW DOG ENTERPRISES, INC.
Doing business as
First Light Home Care
Practice address
51 Pine Hill Rd
Casco, ME 04015-4138
Phone
(207) 627-1125
Fax
(207) 627-1126
NPI assigned
Nov 14, 2011
Last updated
Nov 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Mr. Peter J Gartland
Title
President
Phone
(207) 627-1125

Specialties & licenses 1

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

Addresses

Primary practice location

51 Pine Hill Rd
Casco, ME 04015-4138

Mailing address

51 Pine Hill Rd
Casco, ME 04015-4138
Phone (207) 627-1125

Other names 1

  • First Light Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
First Light Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1750668018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 PINE HILL RD",
            "city": "CASCO",
            "state": "ME",
            "postal_code": "040154138",
            "telephone_number": "207-627-1125",
            "fax_number": "207-627-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 PINE HILL RD",
            "city": "CASCO",
            "state": "ME",
            "postal_code": "040154138",
            "telephone_number": "207-627-1125",
            "fax_number": "207-627-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOW DOG ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "GARTLAND",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-627-1125",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Light Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Casco, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.