Provider Demographics
NPI:1497249833
Name:USASENIORCARE, INC
Entity Type:Organization
Organization Name:USASENIORCARE, INC
Other - Org Name:HOME INSTEAD SENIOR CARE OF WALTHAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-314-0153
Mailing Address - Street 1:440 TOTTEN POND RD
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-2015
Mailing Address - Country:US
Mailing Address - Phone:781-314-0153
Mailing Address - Fax:
Practice Address - Street 1:440 TOTTEN POND RD
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-2015
Practice Address - Country:US
Practice Address - Phone:781-314-0153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-19
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care