Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pineridge Support Agency LLC

Organization In Home Supportive Care Agency · NPI 1427916279

Pineridge Support Agency LLC is an In Home Supportive Care Agency in Lewiston, Maine. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

34 Tall Pines Dr Apt 7
Lewiston, ME 04240-3280
Phone: (207) 601-2078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X

Record details

NPI number1427916279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohamed Mohamed — Ceo · (207) 601-2078
NPI enumeratedJanuary 12, 2026
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing address34 Tall Pines Dr Apt 7, Lewiston, ME 04240-3280

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