Provider Demographics
NPI:1972257624
Name:COLLECTION HOMECARE LLC
Entity type:Organization
Organization Name:COLLECTION HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:METHAQ
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULZAHRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-274-1276
Mailing Address - Street 1:18 TERI CIR APT 180
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-3987
Mailing Address - Country:US
Mailing Address - Phone:207-274-1276
Mailing Address - Fax:
Practice Address - Street 1:18 TERI CIR APT 180
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-3987
Practice Address - Country:US
Practice Address - Phone:207-274-1276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care