Provider Demographics
NPI:1184018186
Name:CAREGROUP PARMENTER HOME CARE & HOSPICE, INC.
Entity Type:Organization
Organization Name:CAREGROUP PARMENTER HOME CARE & HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-499-5530
Mailing Address - Street 1:330 MOUNT AUBURN ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-5502
Mailing Address - Country:US
Mailing Address - Phone:617-673-1700
Mailing Address - Fax:617-673-1750
Practice Address - Street 1:1 ARSENAL MARKET PL
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-5018
Practice Address - Country:US
Practice Address - Phone:617-673-1700
Practice Address - Fax:617-673-1750
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOUNT AUBURN HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-03-27
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7245251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based