Provider Demographics
NPI:1598140410
Name:ATC(AROUND THE CLOCK)HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:ATC(AROUND THE CLOCK)HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:508-281-6072
Mailing Address - Street 1:155 BOSTON RD STE 1
Mailing Address - Street 2:
Mailing Address - City:SOUTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01772-1650
Mailing Address - Country:US
Mailing Address - Phone:508-281-6070
Mailing Address - Fax:508-453-1028
Practice Address - Street 1:155 BOSTON RD STE 1
Practice Address - Street 2:
Practice Address - City:SOUTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01772-1650
Practice Address - Country:US
Practice Address - Phone:508-281-6070
Practice Address - Fax:508-453-1028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAR03534253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care