Provider Demographics
NPI:1235465352
Name:MASS CAREGIVERS CORP.
Entity Type:Organization
Organization Name:MASS CAREGIVERS CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ACIM
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:508-993-8940
Mailing Address - Street 1:288 SLOCUM RD
Mailing Address - Street 2:
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-3603
Mailing Address - Country:US
Mailing Address - Phone:508-993-8940
Mailing Address - Fax:508-993-8940
Practice Address - Street 1:288 SLOCUM RD
Practice Address - Street 2:
Practice Address - City:DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-3603
Practice Address - Country:US
Practice Address - Phone:508-993-8940
Practice Address - Fax:508-993-8940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-23
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAR2775251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health