Provider Demographics
NPI:1083983662
Name:CAMPASSIONATE CAREGIVERS INC.
Entity Type:Organization
Organization Name:CAMPASSIONATE CAREGIVERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:MC AVOY
Authorized Official - Suffix:
Authorized Official - Credentials:PRACTICAL NURSE
Authorized Official - Phone:781-449-2273
Mailing Address - Street 1:150 GRAFTON ST
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-5946
Mailing Address - Country:US
Mailing Address - Phone:781-449-2273
Mailing Address - Fax:781-444-8077
Practice Address - Street 1:1116 GREAT PLAIN AVE
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-2300
Practice Address - Country:US
Practice Address - Phone:781-449-2273
Practice Address - Fax:781-444-8077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health