Provider Demographics
NPI:1740410992
Name:SKILLED HOMECARE SERVICES
Entity Type:Organization
Organization Name:SKILLED HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAHOOD
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC, GNP-BC,CRNI
Authorized Official - Phone:978-987-8802
Mailing Address - Street 1:391 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:LEICESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01524-1221
Mailing Address - Country:US
Mailing Address - Phone:978-987-8802
Mailing Address - Fax:
Practice Address - Street 1:391 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:LEICESTER
Practice Address - State:MA
Practice Address - Zip Code:01524-1221
Practice Address - Country:US
Practice Address - Phone:978-987-8802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care