Provider Demographics
NPI:1003858655
Name:ENCOMPASS CARE COMPANY, INC.
Entity Type:Organization
Organization Name:ENCOMPASS CARE COMPANY, INC.
Other - Org Name:ACCESSIBLE HOME HEALTH CARE OF SOUTH CENTRAL MASSACHUSETTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BERGUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-769-2707
Mailing Address - Street 1:244 SILVER GLEN AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32092-2470
Mailing Address - Country:US
Mailing Address - Phone:508-769-2707
Mailing Address - Fax:508-203-4685
Practice Address - Street 1:4131 UNIVERSITY BLVD S STE 10
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-4346
Practice Address - Country:US
Practice Address - Phone:508-769-2707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 324500000X
MA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty