Provider Demographics
NPI:1083748867
Name:NEW ENGLAND LIFE CARE, INC.
Entity Type:Organization
Organization Name:NEW ENGLAND LIFE CARE, INC.
Other - Org Name:NH LOCATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-932-4347
Mailing Address - Street 1:45 CENTER ST STE A
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-6503
Mailing Address - Country:US
Mailing Address - Phone:207-321-6352
Mailing Address - Fax:207-321-6353
Practice Address - Street 1:41C TERRILL PARK DRIVE
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301
Practice Address - Country:US
Practice Address - Phone:800-338-8022
Practice Address - Fax:603-225-0684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH2603743Y0NH01OtherANTHEM NH
NH3005217Medicaid
VT1005411Medicaid
NH80002441Medicaid
NH2603743Y0NH01OtherANTHEM NH