Provider Demographics
NPI:1386213528
Name:WEST RIVER HOME HEALTH, LLC
Entity Type:Organization
Organization Name:WEST RIVER HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:LABOSSIERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-707-9543
Mailing Address - Street 1:63 KENDRICK ST
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494-2760
Mailing Address - Country:US
Mailing Address - Phone:781-707-9085
Mailing Address - Fax:
Practice Address - Street 1:63 KENDRICK ST
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494-2760
Practice Address - Country:US
Practice Address - Phone:781-707-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health