ADAM KETCHUM (NPI# 1528680261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528680261 |
| Entity Type | Individual |
| Full Name | ADAM KETCHUM |
| Practice Address |
56 Smith St Apt 2 Bangor ME 04401-4715 |
| Practice Telephone | 2074040829 |
| Mailing Telephone | 2074040829 |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2020-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
56 SMITH ST APT 2 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-4715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| 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 |
|---|---|---|---|---|
| 1548884323 | A&m Home Care Corp | Technician | 84 Hammond St Ste 441, Bangor, ME 04401-4915 | 2020-06-08 |
| 1346455128 | Cheryl Ann Pinkham | Technician | 105 2nd Street, Bangor, ME 04401 | 2007-05-14 |
| 1811022262 | Harriett Louis Wischow | Technician | 183 Bolling Dr, Bangor, ME 04401 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639966 | Jane Marie Worster | Technician | 211 Marsh Stream Rd, Frankfort, ME 04438-3214 | 2019-09-27 |
| 1942859715 | Compassionate Caregivers for Me, LLC | Technician | 596 Hinckley Rd, Clinton, ME 04927-3619 | 2019-09-05 |
| 1922665348 | Marcia L Vanbuskirk | Technician | 353 Cushing Rd, Cushing, ME 04563-3118 | 2019-05-21 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1134667611 | Michael Brow | Technician | 31 Bay Woods Rd, Bristol, ME 04539-3002 | 2017-02-06 |
| 1285171629 | Caroline Walsh Toto-lawrence | Technician | 258 Ridge Road, Fairfield, ME 04937 | 2017-01-24 |
| 1265975932 | Ocean Home Healthcare LLC | Technician | 68 Bishop St Ste 2, Portland, ME 04103-2681 | 2016-11-29 |
| 1306390976 | Cheryl Ann Ladner | Technician | 355 Foxcroft Rd, Houlton, ME 04730-3400 | 2016-08-11 |
| 1104281534 | Private Home Care, Inc. | Technician | 243 High St., 2nd Floor, Belfast, ME 04915 | 2015-12-30 |
| 1962837930 | Michael Leduc | Technician | 3 Garden of Eden Rd, Standish, ME 04084-6339 | 2013-09-10 |
| Find all providers with the same taxonomy | ||||
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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.