GREEN LEAF RESIDENTIAL CARE LLC
NPI 1366096323
In Home Supportive Care in Portland, ME

Active since July 29, 2019
24 WELLESLEY ESTS, PORTLAND, ME 04103(207) 615-4036 Get Directions Write a Review

NPPES record last updated: July 29, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • In Home Supportive Care

About GREEN LEAF RESIDENTIAL CARE LLC

This page provides the complete NPI Profile along with additional information for Green Leaf Residential Care Llc, a provider established in Portland, Maine operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1366096323 assigned on July 2019. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mr. Antoine Rubenga Bikamba (Managing Director)

NPI
1366096323 Verify this NPI
Provider Name
GREEN LEAF RESIDENTIAL CARE LLC
Entity Type
Organization
Location Address
24 WELLESLEY ESTS PORTLAND, ME 04103
Location Phone
(207) 615-4036
Mailing Address
24 WELLESLEY ESTS PORTLAND, ME 04103
Mailing Phone
(207) 615-4036
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-29-2019
Last Update Date
07-29-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ANTOINE RUBENGA BIKAMBA

Authorized Official Title
MANAGING DIRECTOR
Authorized Official Phone
(207) 615-4036

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366096323, enumerated as an "organization" on July 29, 2019.

The provider is located at 24 WELLESLEY ESTS PORTLAND, ME 04103 and the phone number is (207) 615-4036.

In Home Supportive Care with taxonomy code 253Z00000X.