Provider Demographics
NPI:1194849216
Name:POINTECARE HOME CARE CORPORATION
Entity Type:Organization
Organization Name:POINTECARE HOME CARE CORPORATION
Other - Org Name:POINTECARE HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNMARIE
Authorized Official - Middle Name:MCDONNELL
Authorized Official - Last Name:TATELBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BS
Authorized Official - Phone:508-580-8444
Mailing Address - Street 1:35 CHRISTY PL
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-1830
Mailing Address - Country:US
Mailing Address - Phone:508-580-8444
Mailing Address - Fax:508-580-4288
Practice Address - Street 1:35 CHRISTY PL
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-1830
Practice Address - Country:US
Practice Address - Phone:508-580-8444
Practice Address - Fax:508-580-4288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA227468Medicare ID - Type UnspecifiedHOME HEALTH AGENCY