Organization
AMERICOAST MAINE, LLC
Active
Parent organization
COMMUNITY CARE HOLDINGS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY CARE HOLDINGS, LLC
Authorized official
MS. JENNIFER KUCZEWSKI (DIRECTOR)
(716) 568-2236
Entity
Organization
Contact information
Practice address
2225 ODLIN RD, HERMON, ME 04401-7237
(207) 942-4555
(207) 942-4575
Mailing address
60 NORTHPOINTE PKWY, AMHERST, NY 14228-1883
(716) 568-2236
(716) 568-2243
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
NA
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1078998
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134630000
—
MD
Enumeration date
08/16/2006
Last updated
12/15/2014
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