Provider Demographics
NPI:1801227533
Name:M&S HOME HEALTH AIDE AGENCY LLC
Entity Type:Organization
Organization Name:M&S HOME HEALTH AIDE AGENCY LLC
Other - Org Name:M&S HOME HEALTH AIDE AGENCY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUNDIA & MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOURDEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-753-7671
Mailing Address - Street 1:212 PAKACHOAG ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-2543
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:212 PAKACHOAG ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2543
Practice Address - Country:US
Practice Address - Phone:508-753-7671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-05
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health