AGING GRACE HOUSE CALLS, PROFESSIONAL CORPORATION
NPI 1336919091
Clinic/Center - Primary Care in Bangor, ME
About Aging Grace House Calls, Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AGING GRACE HOUSE CALLS, PROFESSIONAL CORPORATION (NPI 1336919091) is a healthcare organization registered as a primary care in Bangor, Maine and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through January 9, 2028 and lists Kathryn M Mordino, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 20D2297022
Aging Grace House Calls · Bangor, MEOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Aging Grace House Calls, Professional Corporation's NPI number?
The NPI number for Aging Grace House Calls, Professional Corporation is 1336919091. It was assigned to this organization in the NPPES registry on January 4, 2024.
Where is Aging Grace House Calls, Professional Corporation located?
Aging Grace House Calls, Professional Corporation is located at 21 E Summer St, Bangor, ME 04401. The listed phone number is (207) 573-0710.
What is Aging Grace House Calls, Professional Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Aging Grace House Calls, Professional Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 20D2297022) is associated with this NPI, valid through January 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Aging Grace House Calls, Professional Corporation was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Aging Grace House Calls, Professional Corporation · NPI 1336919091
Primary Care organization in Bangor, Maine. Organization record, active in the CMS NPPES registry since January 4, 2024.
## Identity
- **NPI:** 1336919091 (Entity type: Organization)
- **Enumerated:** January 4, 2024
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Kathryn Mordino, CEO
## Practice location
- **Address:** 21 E SUMMER ST, Bangor, ME 04401-5513
- **Phone:** (207) 573-0710
## Record status
- **NPPES last updated:** February 26, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1336919091) · Data from the CMS NPPES public registry.