Provider Demographics
NPI:1649741125
Name:BOSTON SENIOR HOME CARE
Entity Type:Organization
Organization Name:BOSTON SENIOR HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:JON
Authorized Official - Last Name:STUMPF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-303-6996
Mailing Address - Street 1:89 SOUTH ST STE 501
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-2748
Mailing Address - Country:US
Mailing Address - Phone:617-451-6400
Mailing Address - Fax:
Practice Address - Street 1:89 SOUTH ST STE 501
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-2748
Practice Address - Country:US
Practice Address - Phone:617-451-6400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management