Provider Demographics
NPI:1790317824
Name:BOSTON ROAD CARE LLC
Entity Type:Organization
Organization Name:BOSTON ROAD CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CURL
Authorized Official - Middle Name:
Authorized Official - Last Name:CUTTING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-863-4375
Mailing Address - Street 1:1698 BOSTON RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10460-4948
Mailing Address - Country:US
Mailing Address - Phone:917-863-4375
Mailing Address - Fax:
Practice Address - Street 1:1698 BOSTON RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-4948
Practice Address - Country:US
Practice Address - Phone:917-863-4375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-06
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care