Provider Demographics
NPI:1851737456
Name:GREATER BOSTON HOME HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:GREATER BOSTON HOME HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGONAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-762-2929
Mailing Address - Street 1:661 WASHINGTON ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3579
Mailing Address - Country:US
Mailing Address - Phone:781-762-2929
Mailing Address - Fax:
Practice Address - Street 1:661 WASHINGTON ST
Practice Address - Street 2:SUITE 300
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3579
Practice Address - Country:US
Practice Address - Phone:781-762-2929
Practice Address - Fax:781-769-5105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-22
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health