HOSPICE OF SOUTHERN MAINE NPI 1972594232

NPI Information

NPI: 1972594232
Provider Name: HOSPICE OF SOUTHERN MAINE
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 20D1070476

Address:
390 US ROUTE 1
SCARBOROUGH, ME
ZIP 04074
Phone: (207) 289-3640
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HOSPICE OF SOUTHERN MAINE is a hospice care community based in Scarborough, ME. HOSPICE OF SOUTHERN MAINE NPI is 1972594232. The provider is registered as an organization entity type.

The provider's business location address is:

390 US ROUTE 1
SCARBOROUGH, ME
ZIP 04074-772
Phone: (207) 289-3640
Fax: (207) 883-1040

The provider's authorized official is Michelle Malo .
The authorized official title is Quality & Compliance Director and has the following contact phone number (207) 289-3640.

The CLIA number assigned to this NPI record is 20D1070476 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2005 and was last updated on 7/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		36152	MAINE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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