Organization Active NPI

Degmo Support Solutions LLC

  • Case Management Agency
  • Lewiston, ME
National Provider Identifier
1861249864
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DEGMO SUPPORT SOLUTIONS LLC
Practice address
124 Lisbon St # 3K
Lewiston, ME 04240-7106
Phone
(207) 344-4597
NPI assigned
May 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Choukri Mahamoud, DSP, PSS, CRMA
Title
Ceo
Phone
(207) 344-4597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

124 Lisbon St # 3K
Lewiston, ME 04240-7106

Mailing address

124 Lisbon St # 3K
Lewiston, ME 04240-7106
Phone (207) 344-4597

National Provider Directory

National Provider Directory

Locations

124 Lisbon St
#3K
Lewiston, ME 04240
Phone (207) 344-4597

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1861249864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 LISBON ST # 3K",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407106",
            "telephone_number": "207-344-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 LISBON ST # 3K",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407106",
            "telephone_number": "207-344-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEGMO SUPPORT SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "MAHAMOUD",
        "authorized_official_first_name": "CHOUKRI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-344-4597",
        "authorized_official_credential": "DSP, PSS, CRMA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.