Provider Demographics
NPI:1366838146
Name:ADUCARE HOME HEALTH SERVICE
Entity Type:Organization
Organization Name:ADUCARE HOME HEALTH SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FABIOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-756-8138
Mailing Address - Street 1:57 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02136-3155
Mailing Address - Country:US
Mailing Address - Phone:617-756-8138
Mailing Address - Fax:
Practice Address - Street 1:57 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02136-3155
Practice Address - Country:US
Practice Address - Phone:617-756-8138
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health