Provider Demographics
NPI:1659892156
Name:BOSTON CAREGIVERS
Entity Type:Organization
Organization Name:BOSTON CAREGIVERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED HHA
Authorized Official - Phone:617-407-8326
Mailing Address - Street 1:23 CONGREVE ST # 2
Mailing Address - Street 2:
Mailing Address - City:ROSLINDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02131-1913
Mailing Address - Country:US
Mailing Address - Phone:617-323-0456
Mailing Address - Fax:
Practice Address - Street 1:378 WARD ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-1217
Practice Address - Country:US
Practice Address - Phone:617-335-8712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-05
Last Update Date:2017-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty