Organization · NPI-2

Homehaven LLC

Home Health Aide · Portland, ME

NPI number1285514307
StatusActive
Last updated in NPPESSep 8, 2025

Details

NPI
1285514307
Entity type
Organization (NPI-2)
Legal business name
Homehaven LLC
Organization subpart
No
Enumeration date
Sep 8, 2025
Certification date
Sep 8, 2025
Last updated
Sep 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

49 Dartmouth St Ste C
Portland, ME 04101-1700

Phone 207-332-4528

Mailing address

49 Dartmouth St Ste C
Portland, ME 04101-1700

Phone 207-332-4528

Authorized official

Ridwan Hassan
Ceo
2073324528

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