AMERICOAST MAINE, LLC (NPI# 1578676581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578676581 |
| Entity Type | Organization |
| Organization Name | AMERICOAST MAINE, LLC |
| Practice Address |
2225 Odlin Rd Hermon ME 04401-7237 |
| Mailing Address |
60 Northpointe Pkwy Amherst NY 14228-1883 |
| Practice Telephone | 2079424555 |
| Practice Fax Number | 2079424575 |
| Mailing Telephone | 7165682236 |
| Mailing Fax Number | 7165682243 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2014-12-15 |
| Authorized Official Name | MS. JENNIFER KUCZEWSKI (DIRECTOR) |
| Authorized Official Telephone | 7165682236 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY CARE HOLDINGS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | NA | Suppliers | |
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
1078998 | ME | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 134630000 | 05 |
| Street Address |
2225 ODLIN RD |
| City | HERMON |
| State | ME |
| Zip Code | 04401-7237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366566853 | Medical Depot | Durable Medical Equipment & Medical Supplies | 2225 Odlin Rd, Hermon, ME 04401-7237 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922579663 | Home Care Specialists, Inc. | Durable Medical Equipment & Medical Supplies | 16 White Pine Rd Ste D, Hermon, ME 04401-0258 | 2018-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669023040 | Regional Home Care | Durable Medical Equipment & Medical Supplies | 453 Elm St # 5, Biddeford, ME 04005-4145 | 2019-09-26 |
| 1831669233 | Home Care Specialists, Inc. | Durable Medical Equipment & Medical Supplies | 125 John Roberts Rd Ste 18, South Portland, ME 04106-3295 | 2018-11-28 |
| 1134655210 | Regional Home Care | Durable Medical Equipment & Medical Supplies | 53 Broad St, Auburn, ME 04210-6813 | 2017-05-10 |
| 1104222314 | Regional Home Care Inc | Durable Medical Equipment & Medical Supplies | 559 Union St, #2, Bangor, ME 04401-3705 | 2014-11-16 |
| 1003164682 | Americoast Maine LLC | Durable Medical Equipment & Medical Supplies | 214 W Main St Ste 102, Fort Kent, ME 04743-1119 | 2012-08-29 |
| 1992063440 | Coastal Med Tech Inc | Durable Medical Equipment & Medical Supplies | 376 North Maine Street, Suite C, Calais, ME 04619 | 2012-05-02 |
| 1376801084 | Coastal Med Tech Inc | Durable Medical Equipment & Medical Supplies | 844 Us Route 2 E, Wilton, ME 04294-3864 | 2012-05-01 |
| 1679830095 | Coastal Med Tech Inc | Durable Medical Equipment & Medical Supplies | 364 State St, Bangor, ME 04401-6604 | 2012-04-23 |
| 1578842175 | Waterville Home Oxygen, LLC | Durable Medical Equipment & Medical Supplies | 99 Bangor St, Augusta, ME 04330-4340 | 2011-08-12 |
| 1740318021 | Coastal Med Tech, Inc. | Durable Medical Equipment & Medical Supplies | 210 College Ave, Waterville, ME 04901 | 2007-03-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.