Provider Demographics
NPI:1689958670
Name:GREATER BOSTON HOME CARE, INC.
Entity Type:Organization
Organization Name:GREATER BOSTON HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SULESKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-587-3941
Mailing Address - Street 1:2114 AVALON DR
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-1513
Mailing Address - Country:US
Mailing Address - Phone:978-587-3941
Mailing Address - Fax:
Practice Address - Street 1:2114 AVALON DR
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-1513
Practice Address - Country:US
Practice Address - Phone:978-587-3941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health