Basic Information
Provider Information
NPI: 1386086270
EntityType: 2
ReplacementNPI:  
OrganizationName: SECOND SOLUTIONS, INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: ARCADIA NEW ENGLAND HOME CARE
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 455 MAIN ST
Address2:  
City: SPRINGVALE
State: ME
PostalCode: 040831819
CountryCode: US
TelephoneNumber: 2073243400
FaxNumber: 2073243498
Practice Location
Address1: 455 MAIN ST
Address2:  
City: SPRINGVALE
State: ME
PostalCode: 040831819
CountryCode: US
TelephoneNumber: 2073243400
FaxNumber: 2073243498
Other Information
ProviderEnumerationDate: 07/22/2013
LastUpdateDate: 09/16/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: HESS
AuthorizedOfficialFirstName: JEFF
AuthorizedOfficialMiddleName: ALAN
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 9179035804
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/16/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251E00000X03148MEY AgenciesHome Health 

No ID Information.


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