Provider Demographics
NPI:1730284894
Name:WILLIAM J BYRNE, INC.
Entity Type:Organization
Organization Name:WILLIAM J BYRNE, INC.
Other - Org Name:BYRNE HOME HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:BYRNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-655-3656
Mailing Address - Street 1:16 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-4530
Mailing Address - Country:US
Mailing Address - Phone:508-655-3656
Mailing Address - Fax:508-655-2473
Practice Address - Street 1:16 MAIN ST
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-4530
Practice Address - Country:US
Practice Address - Phone:508-655-3656
Practice Address - Fax:508-655-2473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA180654OtherBC/BS OF MASSACHUSETTS
MA1524259Medicaid
MA180654OtherBC/BS OF MASSACHUSETTS