Sr Home Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

02734 Issued in ME

Legal business name

SR HOME CARE SERVICES LLC

Doing business as

Sandy River Home Resources

Practice address

509 Forest Ave
Portland, ME 04101-1521

Phone

(207) 774-6931

Fax

(207) 321-2760

NPI assigned

Jan 9, 2007

Last updated

Jun 30, 2008By 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

Marcella Wilkinson

Title

Corporate Director

Phone

(610) 925-4045

Specialties & licenses 1

Addresses

Other names 1

• Sandy River Home Resources Doing business as

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1932258340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4436",
            "fax_number": "610-925-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 FOREST AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011521",
            "telephone_number": "207-774-6931",
            "fax_number": "207-321-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SR HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR",
        "authorized_official_telephone_number": "610-925-4045"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ME",
            "license": "02734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandy River Home Resources",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Portland, ME
• Providers in Portland, ME by specialty
• Home Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.