Provider Demographics
NPI:1730277260
Name:WALDO COUNTY HOME HEALTHCARE SERVICES
Entity type:Organization
Organization Name:WALDO COUNTY HOME HEALTHCARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:B
Authorized Official - Last Name:DRINKWATER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-338-2500
Mailing Address - Street 1:125 NORTHPORT AVE
Mailing Address - Street 2:P.O. BOX 407
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6002
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:125 NORTHPORT AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6002
Practice Address - Country:US
Practice Address - Phone:207-338-2500
Practice Address - Fax:207-338-9368
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WALDO COUNTY HOME HEALTHCARE SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-10
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME36441251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME201509Medicare ID - Type Unspecified