Provider Demographics
NPI:1275241341
Name:WASHINGTON HEALTHCARE LLC
Entity Type:Organization
Organization Name:WASHINGTON HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MAXIME
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-475-2400
Mailing Address - Street 1:5260 WASHINGTON ST STE 11
Mailing Address - Street 2:
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132-6354
Mailing Address - Country:US
Mailing Address - Phone:617-475-2400
Mailing Address - Fax:800-546-2141
Practice Address - Street 1:5260 WASHINGTON ST STE 11
Practice Address - Street 2:
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132-6354
Practice Address - Country:US
Practice Address - Phone:617-475-2400
Practice Address - Fax:800-546-2141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-08
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health