Southern Maine Homecare, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SOUTHERN MAINE HOMECARE, LLC

Practice address

118 Anderson St
Portland, ME 04101-2546

Phone

(207) 615-3103

NPI assigned

Apr 20, 2018

Organization subpart

No

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

Authorized official

Name

Abdiaziz A Mohamed, ADMINSTRATOR

Title

Manager

Phone

(207) 615-3103

Specialties & licenses 1

Addresses

Other names 1

• Southern maine homecare, LLC Doing business as

Locations

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1982191300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3153",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041043153",
            "telephone_number": "207-615-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 ANDERSON ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012546",
            "telephone_number": "207-615-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MAINE HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ABDIAZIZ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "207-615-3103",
        "authorized_official_credential": "ADMINSTRATOR"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern maine homecare, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Helen M Soule, MD
• Soundings Therapy Group, PLLC
• Jordan Kelly Sountis, AGACNP
• Sydney Marie Sousa, PA-C
• Sarah Chisholm Southard, A.N.P.
• Southern Maine Periodontal Assoc PA
• Southern Maine Physical Medicine and Rehabilitation, PLLC
• Lauren Carol Spada
• Abigail Leah Spadone, LMSW-CC
• Molly K Spadone, LMSW-CC

• In Home Supportive Care Agency in Portland, ME
• Providers in Portland, ME by specialty
• In Home Supportive Care Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.