Provider Demographics
NPI:1831424159
Name:NEW ENGLAND CARE SERVICES LLC
Entity type:Organization
Organization Name:NEW ENGLAND CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BICKMORE
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:207-899-0171
Mailing Address - Street 1:344 PREBLE ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-2236
Mailing Address - Country:US
Mailing Address - Phone:207-899-0171
Mailing Address - Fax:
Practice Address - Street 1:344 PREBLE ST
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-2236
Practice Address - Country:US
Practice Address - Phone:207-899-0171
Practice Address - Fax:207-221-1257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-04
Last Update Date:2009-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
MEME1002225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty