Individual provider Active NPI

Mathew Shankweiler

  • Adult Companion
  • East Millinocket, ME
National Provider Identifier
1750857223
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Practice address
30 Western Ave
East Millinocket, ME 04430-1040
Phone
(727) 249-3307
NPI assigned
Oct 22, 2018
Last updated
Oct 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X NU Primary

Addresses

Primary practice location

30 Western Ave
East Millinocket, ME 04430-1040

Mailing address

499 53Rd Ave N
St Petersburg, FL 33703-2960
Phone (727) 249-3307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Community Support Services Current Accepting new patients
R & C Home Care, Inc. Current Accepting new patients
In Home Care, LLC Adult Companion Past Accepting new patients

Locations

30 Western Ave
East Millinocket, ME 04430
Phone (207) 746-9990

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1750857223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 53RD AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337032960",
            "telephone_number": "727-249-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WESTERN AVE",
            "city": "EAST MILLINOCKET",
            "state": "ME",
            "postal_code": "044301040",
            "telephone_number": "727-249-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKWEILER",
        "first_name": "MATHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Millinocket, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.