Provider Demographics
NPI:1639289648
Name:HOMECARE NEWENGLAND LLC
Entity Type:Organization
Organization Name:HOMECARE NEWENGLAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:M
Authorized Official - Last Name:CROWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-305-7000
Mailing Address - Street 1:21 FATHER DEVALLES BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02723-1519
Mailing Address - Country:US
Mailing Address - Phone:508-536-5549
Mailing Address - Fax:508-536-5613
Practice Address - Street 1:21 FATHER DEVALLES BLVD.
Practice Address - Street 2:SUITE 103
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02723
Practice Address - Country:US
Practice Address - Phone:508-536-5549
Practice Address - Fax:508-536-5613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1532341Medicaid
MA5620910002Medicare NSC