Provider Demographics
NPI:1124262704
Name:HOME HEALTH CARE SOLUTIONS
Entity type:Organization
Organization Name:HOME HEALTH CARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:JAMA
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-347-6106
Mailing Address - Street 1:999 FOREST AVE
Mailing Address - Street 2:207
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-3366
Mailing Address - Country:US
Mailing Address - Phone:207-347-6113
Mailing Address - Fax:207-347-6113
Practice Address - Street 1:999 FOREST AVE
Practice Address - Street 2:207
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-3366
Practice Address - Country:US
Practice Address - Phone:207-347-6113
Practice Address - Fax:207-347-6113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME02915302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization