Provider Demographics
NPI:1225700834
Name:REMOTECARE PROVIDERS, LLC
Entity Type:Organization
Organization Name:REMOTECARE PROVIDERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HEINZELMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-441-2345
Mailing Address - Street 1:28 ATLANTIC AVE # 25
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02110-3820
Mailing Address - Country:US
Mailing Address - Phone:888-441-2345
Mailing Address - Fax:888-441-2345
Practice Address - Street 1:28 ATLANTIC AVE # 225
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02110-3820
Practice Address - Country:US
Practice Address - Phone:888-777-4199
Practice Address - Fax:888-777-4199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-01
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA37410Medicaid