Provider Demographics
NPI:1689458986
Name:SAWA COMPASSIONATE HOMECARE LLC
Entity Type:Organization
Organization Name:SAWA COMPASSIONATE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHERMAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:AYUSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-415-6387
Mailing Address - Street 1:37 DUKE ST # 2
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02126-3150
Mailing Address - Country:US
Mailing Address - Phone:617-415-6387
Mailing Address - Fax:
Practice Address - Street 1:37 DUKE ST # 2
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02126-3150
Practice Address - Country:US
Practice Address - Phone:617-415-6387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health