Provider Demographics
NPI:1700418480
Name:FLOURISHING HOME CARE LLC
Entity Type:Organization
Organization Name:FLOURISHING HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOURDEMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:AIME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-257-4326
Mailing Address - Street 1:1214 PARK ST STE 203
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-3738
Mailing Address - Country:US
Mailing Address - Phone:774-257-4326
Mailing Address - Fax:774-517-5675
Practice Address - Street 1:1214 PARK ST STE 203
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-3738
Practice Address - Country:US
Practice Address - Phone:774-257-4326
Practice Address - Fax:774-517-5675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-10
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care