1669616900 NPI number — DUNROVIN ENTERPRISES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669616900 NPI number — DUNROVIN ENTERPRISES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DUNROVIN ENTERPRISES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SENIORS/DOMESTICS HOME CARE AGENCY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669616900
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1771
Provider Second Line Business Mailing Address:
520 MAIN STREET
Provider Business Mailing Address City Name:
PRESQUE ISLE
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04769-1771
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-764-5232
Provider Business Mailing Address Fax Number:
207-764-5232

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
520 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PRESQUE ISLE
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04769-2339
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-764-5232
Provider Business Practice Location Address Fax Number:
207-764-5232
Provider Enumeration Date:
04/30/2009

Additional Information

Authorized Official

Authorized Official Last Name:
CYR
Authorized Official First Name:
BLOSSOM
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
CEO/ADMINISTRATOR
Authorized Official Telephone Number:
207-764-5232

Provider Taxonomy Codes

  • Taxonomy code: 251J00000X , with the licence number:  02946 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X , with the licence number: 02946 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com