Provider Demographics
NPI:1154453371
Name:MINUTEMAN SENIOR SERVICES, INC.
Entity Type:Organization
Organization Name:MINUTEMAN SENIOR SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:NANCY
Authorized Official - Last Name:SHEDD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-221-7013
Mailing Address - Street 1:26 CROSBY DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-1402
Mailing Address - Country:US
Mailing Address - Phone:978-221-7013
Mailing Address - Fax:781-229-6190
Practice Address - Street 1:26 CROSBY DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-1402
Practice Address - Country:US
Practice Address - Phone:978-272-7177
Practice Address - Fax:781-229-6190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0603929OtherMASSHEALTH PROVIDER NUMBE