# NILES HOME CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326814567
- **Authorized official:** KIDUS ESHETE (OWNER)
- **Authorized official phone:** (720) 671-9338

## Contact information

- **Practice address:** 144 THADEUS ST STE 1, SOUTH PORTLAND, ME 04106-6259
- **Practice address phone:** (720) 671-9338
- **Mailing address:** 8871 E FLORIDA AVE APT D16, DENVER, CO 80247-2829
- **Mailing address phone:** (720) 671-9338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2023
- **Last updated:** 11/29/2023