Provider Demographics
NPI:1942332846
Name:SUBURBAN HOMEMAKING & MATERNITY AGENCY, INC.
Entity Type:Organization
Organization Name:SUBURBAN HOMEMAKING & MATERNITY AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-264-7100
Mailing Address - Street 1:1050 COMMONWEALTH AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-1109
Mailing Address - Country:US
Mailing Address - Phone:617-232-7650
Mailing Address - Fax:
Practice Address - Street 1:1050 COMMONWEALTH AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-1109
Practice Address - Country:US
Practice Address - Phone:617-232-7650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health