The Sam L. Cohen Center

LBN: Southern Maine Agency On Aging
The Sam L. Cohen Center is an health care organization with primary practice located at 30 Barra Rd , Biddeford ME 04005-9459. The organization recently has 2 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Adult Day Care. Ambulatory Health Care Facilities / Adult Day Care is the primary health care specialty. Southern Maine Agency On Aging can be contacted via phone (207) 283-0166, or through Davis, Randall via phone (207) 396-6505.

Contact Information

Primary practice address
30 Barra Rd Biddeford ME 04005-9459
Phone: (207) 283-0166
Fax: (207) 282-2470
Website:
Map and Directions
Authorized official contact:
Name: Davis, Randall
Phone: (207) 396-6505

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X ALLS3017 Maine

Profile Details

NPI number 1295961647
LBN Legal business name Southern Maine Agency On Aging
DBA Doing business as The Sam L. Cohen Center
Authorized official Davis, Randall
Entity Organization
Organization subpart 1 Yes
Enumeration date May 29th, 2009
Last updated Sep 3rd, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295961647 NPPES
Maine Other LAR003-A EIM
Maine Other SOU003-A EIM
Maine Other VA402(241)-P-0011 EIM
Maine MEDICAID 109570100 EIM

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