Organization Active NPI

Full House, Inc.

  • In Home Supportive Care Agency
  • Waterville, ME
National Provider Identifier
1902035264
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FULL HOUSE, INC.
Doing business as
Helping Hands
Practice address
32 College Ave Ste 104
Waterville, ME 04901-6100
Phone
(207) 873-0011
Fax
(207) 877-0620
NPI assigned
Jul 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Authorized official

Name
Kathleen Marie Bushey, REGISTERED NURSE
Title
President
Phone
(207) 873-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

32 College Ave Ste 104
Waterville, ME 04901-6100

Mailing address

PO Box 93
Waterville, ME 04903-0093
Phone (207) 873-0011

Other names 1

  • Helping Hands Doing business as

National Provider Directory

National Provider Directory

Locations

32 College Ave
Ste 104
Waterville, ME 04901
Phone (207) 873-0011

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1902035264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049030093",
            "telephone_number": "207-873-0011",
            "fax_number": "207-877-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 COLLEGE AVE STE 104",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016100",
            "telephone_number": "207-873-0011",
            "fax_number": "207-877-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "BUSHEY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-873-0011",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Helping Hands",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Helping Hands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.