Organization · NPI-2

Atlantic Home Healthcare LLC

In Home Supportive Care · Portland, ME

NPI number1073384517
StatusActive
Last updated in NPPESNov 6, 2025

Details

NPI
1073384517
Entity type
Organization (NPI-2)
Legal business name
Atlantic Home Healthcare LLC
Organization subpart
No
Enumeration date
Jan 12, 2024
Certification date
Nov 6, 2025
Last updated
Nov 6, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Other names

  • Atlantic Home Care, LLC (Doing Business As)

Practice location

75 Bishop St Ste 15a
Portland, ME 04103-2614

Phone 074-201-7692 · Fax 207-309-3009

Mailing address

Po Box 8152
Portland, ME 04104-8152

Phone 207-766-1284 · Fax 207-309-3009

Authorized official

Mohamed A Mohamed
Co-Owner
2077661284

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