Provider Demographics
NPI:1073558680
Name:SPECIALTY HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:SPECIALTY HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:PANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-366-1330
Mailing Address - Street 1:182 TURNPIKE RD
Mailing Address - Street 2:
Mailing Address - City:WESTBORO
Mailing Address - State:MA
Mailing Address - Zip Code:01581-2830
Mailing Address - Country:US
Mailing Address - Phone:508-366-1330
Mailing Address - Fax:508-870-5841
Practice Address - Street 1:182 TURNPIKE RD
Practice Address - Street 2:
Practice Address - City:WESTBORO
Practice Address - State:MA
Practice Address - Zip Code:01581-2830
Practice Address - Country:US
Practice Address - Phone:508-366-1330
Practice Address - Fax:508-870-5841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTNOT YET ISSUED251E00000X
251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care