Provider Demographics
NPI:1003446808
Name:PERSONAL CARE PARTNERS HOMECARE INC.
Entity Type:Organization
Organization Name:PERSONAL CARE PARTNERS HOMECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SENITRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-798-9291
Mailing Address - Street 1:99 DERBY ST STE 200
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-4216
Mailing Address - Country:US
Mailing Address - Phone:877-227-3586
Mailing Address - Fax:877-227-3586
Practice Address - Street 1:99 DERBY ST STE 200
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-4216
Practice Address - Country:US
Practice Address - Phone:877-227-3586
Practice Address - Fax:877-227-3586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care