Provider Demographics
NPI:1598757478
Name:SPECTRUM HOME HEALTH AND HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:SPECTRUM HOME HEALTH AND HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTERRE
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:978-471-5146
Mailing Address - Street 1:770 CONVERSE ST
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-1719
Mailing Address - Country:US
Mailing Address - Phone:413-567-4600
Mailing Address - Fax:413-567-3782
Practice Address - Street 1:770 CONVERSE ST
Practice Address - Street 2:
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-1719
Practice Address - Country:US
Practice Address - Phone:413-567-4600
Practice Address - Fax:413-567-3782
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JEWISH GERIATRIC SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-08-17
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0606065Medicaid
MA227403Medicare Oscar/Certification