Al-shawk Home Healthcare, LLC (NPI# 1144752494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1144752494 |
| Entity Type | Organization |
| Organization Name | AL-SHAWK HOME HEALTHCARE, LLC |
| Practice Address |
640 Brighton Ave Ste 8 Portland ME 04102 |
| Practice Telephone | 2074157986 |
| Mailing Address |
640 Brighton Ave Ste 8 Portland ME 04102-1047 |
| Mailing Telephone | 2074157986 |
| Authorized Official Name | Mr. Sarem S Al-shawk (ONWER) |
| Authorized Official Telephone | 2074157986 |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2020-03-03 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 3747P1801X | Technician · Personal Care Attendant | Nursing Service Related Providers |
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862994 | Tanika Barsegian | Technician | 15311 Se River Forest Dr, Portland, OR 97267-3501 | 2020-02-11 |
| 1740831627 | Edith Joan Marti | Technician | 304 Se 162nd Ave Apt 405, Portland, OR 97233-3866 | 2019-09-23 |
| 1265975932 | Ocean Home Healthcare LLC | Technician | 68 Bishop St Ste 2, Portland, ME 04103-2681 | 2016-11-29 |
| 1235367228 | New England Family Healthcare | Technician | 125 Presumpscot St., #9, Portland, ME 04103 | 2009-06-29 |
| 1225634439 | Joshua A Baca | Technician | 959 Ne 165th Ave, Portland, OR 97230-6148 | 2020-12-11 |
| 1386240810 | Laura Nausieda | Technician | 9125 Sw 55th Ave, Portland, OR 97219-5018 | 2020-12-09 |
| 1174127476 | Jessica Antoinette Nicholas | Technician | 5725 Ne Prescott St, Portland, OR 97218-2275 | 2020-11-27 |
| 1689278574 | Jose A Arias Echeverria | Technician | 7405 Se 84th Ave, Portland, OR 97266-5840 | 2020-11-23 |
| 1174122782 | Kelvina Nicole Cornett | Technician | 13317 Se Powell Blvd, Portland, OR 97236-3335 | 2020-10-23 |
| 1841899275 | Bridgett J Palmer | Technician | 13942 Ne Glisan St, Portland, OR 97230-3350 | 2020-10-16 |
| Find all providers in PORTLAND | ||||
| Street Address |
640 BRIGHTON AVE STE 8 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| 1053786525 | Stephanie Mollica | Social Worker | 22 Bramhall Strret, Portland, ME 04102 | 2015-12-09 |
| Find all providers in zip 04102 | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.