Organization Active NPI

Ennoble Hospice Me, LLC

  • Community Based Hospice Care Agency
  • Bangor, ME
National Provider Identifier
1841049277
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ENNOBLE HOSPICE ME, LLC
Doing business as
Ennoble Care
Practice address
700 Main St Ste 3
Bangor, ME 04401-6800
Phone
(207) 800-3124
Fax
(207) 800-3124
NPI assigned
May 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Kushabhadra Das
Title
Ceo
Phone
(862) 812-9010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

700 Main St Ste 3
Bangor, ME 04401-6800

Mailing address

700 Main St Ste 3
Bangor, ME 04401-6800
Phone (207) 800-3124

Other names 1

  • Ennoble Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1841049277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MAIN ST STE 3",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016800",
            "telephone_number": "207-800-3124",
            "fax_number": "207-800-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MAIN ST STE 3",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016800",
            "telephone_number": "207-800-3124",
            "fax_number": "207-800-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNOBLE HOSPICE ME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "DAS",
        "authorized_official_first_name": "KUSHABHADRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "862-812-9010"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ennoble Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.