Provider Demographics
NPI:1699073809
Name:ACCLAIM HOME CARE
Entity type:Organization
Organization Name:ACCLAIM HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROLAND
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:PAULETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-949-7663
Mailing Address - Street 1:37 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:ORRINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04474-3809
Mailing Address - Country:US
Mailing Address - Phone:207-949-7663
Mailing Address - Fax:
Practice Address - Street 1:37 HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:ORRINGTON
Practice Address - State:ME
Practice Address - Zip Code:04474-3809
Practice Address - Country:US
Practice Address - Phone:207-949-7663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-11
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Single Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty