Provider Demographics
NPI:1437381001
Name:NASHOBA HOMECARE
Entity Type:Organization
Organization Name:NASHOBA HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JAILLET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-448-2113
Mailing Address - Street 1:65 WYMAN RD
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:MA
Mailing Address - Zip Code:01450-1003
Mailing Address - Country:US
Mailing Address - Phone:978-448-2113
Mailing Address - Fax:
Practice Address - Street 1:65 WYMAN RD
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:MA
Practice Address - Zip Code:01450-1003
Practice Address - Country:US
Practice Address - Phone:978-448-2113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7472251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health