Provider Demographics
NPI:1912364993
Name:GLOBAL HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:GLOBAL HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GASTON
Authorized Official - Middle Name:
Authorized Official - Last Name:POUFONG
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:781-391-3500
Mailing Address - Street 1:5 HIGH ST STE 205
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-3800
Mailing Address - Country:US
Mailing Address - Phone:781-391-3500
Mailing Address - Fax:781-391-3520
Practice Address - Street 1:5 HIGH ST STE 205
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-3800
Practice Address - Country:US
Practice Address - Phone:781-391-3500
Practice Address - Fax:781-391-3520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-21
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA000000000251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health