Provider Demographics
NPI:1568246791
Name:BLESSED HEARTS HOME LLC
Entity Type:Organization
Organization Name:BLESSED HEARTS HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARIUS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:617-522-3402
Mailing Address - Street 1:127 RANDALL ST
Mailing Address - Street 2:
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-2237
Mailing Address - Country:US
Mailing Address - Phone:774-360-7618
Mailing Address - Fax:617-247-7050
Practice Address - Street 1:526 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02141-1114
Practice Address - Country:US
Practice Address - Phone:617-522-3402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care