Provider Demographics
NPI:1538704200
Name:CONCORDIA HOME CARE AND NURSING SERVICES LLC
Entity Type:Organization
Organization Name:CONCORDIA HOME CARE AND NURSING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:DAPHNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMON-PASCAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:781-588-0687
Mailing Address - Street 1:20 HAMPDEN DR STE 1
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02375-1180
Mailing Address - Country:US
Mailing Address - Phone:774-296-8072
Mailing Address - Fax:774-220-8775
Practice Address - Street 1:20 HAMPDEN DR STE 1
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MA
Practice Address - Zip Code:02375-1180
Practice Address - Country:US
Practice Address - Phone:177-429-6807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-17
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No174200000XOther Service ProvidersMeals
No253Z00000XAgenciesIn Home Supportive Care
No291U00000XLaboratoriesClinical Medical Laboratory
No347C00000XTransportation ServicesPrivate Vehicle