Amos Byamungu
Individual provider Active NPI In Home Supportive Care Agency · Portland, ME
NPI 1821787656 · NPPES record last updated May 8, 2023
Key facts
- NPI
- 1821787656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 13 Emerson St Apt 104
Portland, ME 04101-3263 - Phone
- (701) 264-9203
- NPI assigned
- May 8, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | ME | Yes |
Addresses
Primary practice location
13 Emerson St Apt 104
Portland, ME 04101-3263
Mailing address
13 Emerson St Apt 104
Portland, ME 04101-3263
Phone (701) 264-9203
Other providers in Portland, ME
- Mary-Ann Butts
- David J Buzanoski
- Jared L Buzzell
- Michael L Buzzell
- BVP Residential Care, LLC
- Gorette Byishimo
- Clark Gregory Byrer
- Richard Gerald Byrnes
- Jessica Byron
- Erin Marie Byrt
All providers in Portland, ME · In Home Supportive Care Agency in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.