Organization · NPI-2
Beaconcare LLC
Home Health Aide · Portland, ME
NPI number1780544668
StatusActive
Last updated in NPPESNov 19, 2025
Details
- NPI
- 1780544668
- Entity type
- Organization (NPI-2)
- Legal business name
- Beaconcare LLC
- Organization subpart
- No
- Enumeration date
- Nov 13, 2025
- Certification date
- Nov 19, 2025
- Last updated
- Nov 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
68 Bishop St Ste 2Suit 2
Portland, ME 04103-2681
Phone 857-999-1659
Mailing address
68 Bishop St Ste 2Portland, ME 04103-2681
Phone 857-999-1659
Authorized official
Abdullahi Abdirahman
Mr.
8579991659
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