Organization Active NPI

Raise Up Home Care LLC

  • In Home Supportive Care Agency
  • Portland, ME
National Provider Identifier
1942991351
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
RAISE UP HOME CARE LLC
Practice address
535 Ocean Ave Ste 1
Portland, ME 04103-4970
Phone
(207) 239-9656
NPI assigned
May 17, 2023
Last updated
Feb 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Othman Enan
Title
Ceo
Phone
(207) 239-9656

Specialties & licenses 1

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

Addresses

Primary practice location

535 Ocean Ave Ste 1
Portland, ME 04103-4970

Mailing address

535 Ocean Ave Ste 1
Portland, ME 04103-4970
Phone (207) 239-9656

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1942991351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 OCEAN AVE STE 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034970",
            "telephone_number": "207-239-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 OCEAN AVE STE 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034970",
            "telephone_number": "207-239-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAISE UP HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "ENAN",
        "authorized_official_first_name": "OTHMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-239-9656"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.