Northern Light Home Care & Hospice – Home Health Agency, NPI 1245236306
Home Health Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Northern Light Home Care & Hospice
50 FODEN RD STE 1
SOUTH PORTLAND, ME 041061718
Phone: (800) 757-3326
Fax: (207) 400-8891
Type: Mailing
50 FODEN RD SUITE 1
SOUTH PORTLAND, ME 04106
Phone: (800) 757-3326
Fax: (207) 756-8676
Type: Location
225 GORHAM RD STE 200
SOUTH PORTLAND, ME 041062462
Phone: (800) 757-3326
Fax: (207) 400-8891
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-02-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (803 days ago).
Enrollment records
3
Earliest due date
2024-03-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20030804000012 | O | Home Health Agency | ME | TBD |
| O20170201002043 | O | Mass Immunization (Roster Biller Only) | ME | 2024-03-31 |
| O20170221001374 | O | Clinic/Group Practice | ME | 2024-04-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 866 | 866 | $0 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 866 | 866 | $0 |
| G0008 | Administration of influenza virus vaccine | 750 | 749 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 625 | 624 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 90 | 90 | $0 |
Insurance plans in this area (ZIP 04106)
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