Provider Demographics
NPI:1790537553
Name:AUSLANDER PCAH CARES LLC
Entity Type:Organization
Organization Name:AUSLANDER PCAH CARES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:AUSLANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-375-7174
Mailing Address - Street 1:135 E MAIN ST APT F10
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-2712
Mailing Address - Country:US
Mailing Address - Phone:508-375-7174
Mailing Address - Fax:
Practice Address - Street 1:945 CONCORD ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-4613
Practice Address - Country:US
Practice Address - Phone:508-375-7174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care