Provider Demographics
NPI:1164816773
Name:DARIEN HOME CARE AGENCY LLC
Entity Type:Organization
Organization Name:DARIEN HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WINGER
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-335-7910
Mailing Address - Street 1:6 PLEASANT ST STE 608
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-5100
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6 PLEASANT ST STE 610
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-5137
Practice Address - Country:US
Practice Address - Phone:180-050-9154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-20
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health