Provider Demographics
NPI:1417785585
Name:KIND SENIOR CARE MAINE LLC
Entity type:Organization
Organization Name:KIND SENIOR CARE MAINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CONOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDERMOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-517-2233
Mailing Address - Street 1:40 LAFAYETTE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-6794
Mailing Address - Country:US
Mailing Address - Phone:207-517-2233
Mailing Address - Fax:
Practice Address - Street 1:40 LAFAYETTE ST STE 2
Practice Address - Street 2:
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-6794
Practice Address - Country:US
Practice Address - Phone:207-517-2233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care