Jack Coffey

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

JACK COFFEY

Practice address

113 Limerick Rd
Arundel, ME 04046-8129

Phone

(207) 985-4940

NPI assigned

Aug 11, 2009

Last updated

Aug 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack Coffey

Title

Owner

Phone

(207) 985-4940

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1831321702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 LIMERICK RD",
            "city": "ARUNDEL",
            "state": "ME",
            "postal_code": "040468129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LIMERICK RD",
            "city": "ARUNDEL",
            "state": "ME",
            "postal_code": "040468129",
            "telephone_number": "207-985-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK COFFEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-985-4940"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Goulette, RN
• Daniel W Hamilton, PH.D
• Demetria Marcia Hearn, CCC-SLP
• Maya Hixon, OTR/L
• Home Care of Southern Maine
• David Paul Jones, D.O.
• Lauren Jones
• Havah M Kewley, M.A. CCC-SLP
• Lindsey Elise Kousaie, OTR/L
• Alison Lambert

• In Home Supportive Care Agency in Arundel, ME
• Providers in Arundel, ME by specialty
• In Home Supportive Care Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.