Provider Demographics
NPI:1780218065
Name:TIMBERLAND HOME CARE INC.
Entity Type:Organization
Organization Name:TIMBERLAND HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-662-3981
Mailing Address - Street 1:PO BOX 787
Mailing Address - Street 2:
Mailing Address - City:CENTER CONWAY
Mailing Address - State:NH
Mailing Address - Zip Code:03813-0787
Mailing Address - Country:US
Mailing Address - Phone:603-356-2273
Mailing Address - Fax:603-356-2277
Practice Address - Street 1:2541 WHITE MOUNTAIN HWY
Practice Address - Street 2:
Practice Address - City:NORTH CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03860-5125
Practice Address - Country:US
Practice Address - Phone:603-356-2273
Practice Address - Fax:603-356-2277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-26
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care