Organization · NPI-2
Aging Kingdom Homecare
In Home Supportive Care · Portland, ME
NPI number1619688876
StatusActive
Last updated in NPPESJan 28, 2026
Details
- NPI
- 1619688876
- Entity type
- Organization (NPI-2)
- Legal business name
- Aging Kingdom Homecare
- Organization subpart
- No
- Enumeration date
- Dec 8, 2022
- Certification date
- Jan 28, 2026
- Last updated
- Jan 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 374U00000X | Home Health Aide | – | – | |
| 282J00000X | Religious Nonmedical Health Care Institution | – | – |
Other names
- Aging Kingdom (Doing Business As)
Practice location
415 Congress StPortland, ME 04101-3500
Phone 207-881-6288
Mailing address
411 Congress StPortland, ME 04101-3505
Phone 207-807-2119
Authorized official
Danielle Patterson
Executive Director
2078072119
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