Provider Demographics
NPI:1609631365
Name:CENTURY HOMECARE, LLC
Entity Type:Organization
Organization Name:CENTURY HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MILKA
Authorized Official - Middle Name:
Authorized Official - Last Name:NJOROGE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:508-762-4038
Mailing Address - Street 1:65 WATER ST STE 2
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-5041
Mailing Address - Country:US
Mailing Address - Phone:508-762-4040
Mailing Address - Fax:
Practice Address - Street 1:65 WATER ST STE 2
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-5041
Practice Address - Country:US
Practice Address - Phone:508-762-4040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care