Provider Demographics
NPI:1417790676
Name:H.O.M.E., INC.
Entity type:Organization
Organization Name:H.O.M.E., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSALANI
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-479-6596
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:ORLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04472-0010
Mailing Address - Country:US
Mailing Address - Phone:207-469-7961
Mailing Address - Fax:207-469-1023
Practice Address - Street 1:90 SCHOOL HOUSE RD
Practice Address - Street 2:
Practice Address - City:ORLAND
Practice Address - State:ME
Practice Address - Zip Code:04472-3651
Practice Address - Country:US
Practice Address - Phone:207-469-7961
Practice Address - Fax:207-469-1023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health