Provider Demographics
NPI:1235605890
Name:TOTAL CARE LLC
Entity Type:Organization
Organization Name:TOTAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DARRYL
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-315-4377
Mailing Address - Street 1:110 CLAYBOURNE ST
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02124-1232
Mailing Address - Country:US
Mailing Address - Phone:617-315-4377
Mailing Address - Fax:617-427-1536
Practice Address - Street 1:110 CLAYBOURNE ST
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02124-1232
Practice Address - Country:US
Practice Address - Phone:617-315-4377
Practice Address - Fax:617-427-1536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care