Provider Demographics
NPI:1174255152
Name:MS HOME CARE CORP
Entity Type:Organization
Organization Name:MS HOME CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:N
Authorized Official - Last Name:SERWANGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-880-9459
Mailing Address - Street 1:255 NORTH RD UNIT 84
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-1425
Mailing Address - Country:US
Mailing Address - Phone:857-880-9459
Mailing Address - Fax:
Practice Address - Street 1:255 NORTH RD UNIT 84
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-1425
Practice Address - Country:US
Practice Address - Phone:857-880-9459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility