Provider Demographics
NPI:1194223388
Name:SPECIAL HANDS HOME CARE, INC
Entity Type:Organization
Organization Name:SPECIAL HANDS HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-204-1375
Mailing Address - Street 1:100 EVERETT AVE STE 3A
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-2309
Mailing Address - Country:US
Mailing Address - Phone:774-204-1375
Mailing Address - Fax:
Practice Address - Street 1:100 EVERETT AVE
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-2309
Practice Address - Country:US
Practice Address - Phone:774-204-1375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-23
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0000000000251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA00000000000000OtherHOME HEALTH CARE