Provider Demographics
NPI:1316126402
Name:ADMIRAL HOME CARE SERVICES, INC.
Entity type:Organization
Organization Name:ADMIRAL HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:PHILIPHOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-828-1591
Mailing Address - Street 1:798 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-6035
Mailing Address - Country:US
Mailing Address - Phone:207-828-1591
Mailing Address - Fax:207-775-4948
Practice Address - Street 1:798 MAIN ST
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-6035
Practice Address - Country:US
Practice Address - Phone:207-828-1591
Practice Address - Fax:207-775-4948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2822251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME207049Medicare Oscar/Certification