Provider Demographics
NPI:1851395180
Name:MULTICULTURAL HOME CARE, INC.
Entity Type:Organization
Organization Name:MULTICULTURAL HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAEFFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-593-7174
Mailing Address - Street 1:330 LYNNWAY
Mailing Address - Street 2:STE 103
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01901-1712
Mailing Address - Country:US
Mailing Address - Phone:781-596-2323
Mailing Address - Fax:781-593-7169
Practice Address - Street 1:330 LYNNWAY
Practice Address - Street 2:STE 103
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01901-1712
Practice Address - Country:US
Practice Address - Phone:781-596-2323
Practice Address - Fax:781-593-7169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7231251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0607304Medicare ID - Type Unspecified
MA227467Medicare ID - Type Unspecified