Organization Active NPI

Nouradine Support Services LLC

  • In Home Supportive Care Agency
  • Lewiston, ME
National Provider Identifier
1902663115
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NOURADINE SUPPORT SERVICES LLC
Practice address
25 Pine St Apt 28
Lewiston, ME 04240-7288
Phone
(207) 241-1925
NPI assigned
Mar 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Souad Goni
Title
Ceo
Phone
(207) 241-1925

Specialties & licenses 1

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

Addresses

Primary practice location

25 Pine St Apt 28
Lewiston, ME 04240-7288

Mailing address

25 Pine St Apt 28
Lewiston, ME 04240-7288
Phone (207) 241-1925

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1902663115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PINE ST APT 28",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407288",
            "telephone_number": "207-241-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PINE ST APT 28",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407288",
            "telephone_number": "207-241-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURADINE SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "GONI",
        "authorized_official_first_name": "SOUAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-241-1925"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Mar 29, 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.