Provider Demographics
NPI:1417619198
Name:10102020 CARE INC
Entity Type:Organization
Organization Name:10102020 CARE INC
Other - Org Name:10102020 CARE INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHANE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEUNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-675-3700
Mailing Address - Street 1:1285 RIVER ST STE B
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-2861
Mailing Address - Country:US
Mailing Address - Phone:617-175-3700
Mailing Address - Fax:617-175-3700
Practice Address - Street 1:1285 RIVER ST STE B
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-2861
Practice Address - Country:US
Practice Address - Phone:617-175-3700
Practice Address - Fax:617-175-3700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-09
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty