Provider Demographics
NPI:1255322483
Name:CARITAS HOME CARE, INC.
Entity Type:Organization
Organization Name:CARITAS HOME CARE, INC.
Other - Org Name:NEPONSET VALLEY NURSING ASSOCIATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:KENNEDY
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-551-5601
Mailing Address - Street 1:3 EDGEWATER DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-4642
Mailing Address - Country:US
Mailing Address - Phone:781-551-5600
Mailing Address - Fax:781-551-5771
Practice Address - Street 1:3 EDGEWATER DR
Practice Address - Street 2:SUITE 103
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4642
Practice Address - Country:US
Practice Address - Phone:781-551-5600
Practice Address - Fax:781-551-5771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-05
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA227203251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0602469Medicaid
MA227203Medicare ID - Type UnspecifiedPROVIDER NUMBER