Provider Demographics
NPI:1942504204
Name:BLACKSTONE VALLEY HOME CARE SPECIALISTS INC.
Entity Type:Organization
Organization Name:BLACKSTONE VALLEY HOME CARE SPECIALISTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:FINNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-865-1223
Mailing Address - Street 1:110 ELM ST
Mailing Address - Street 2:
Mailing Address - City:MILLBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01527-2641
Mailing Address - Country:US
Mailing Address - Phone:508-865-1223
Mailing Address - Fax:508-865-6828
Practice Address - Street 1:110 ELM ST
Practice Address - Street 2:SUITE #7
Practice Address - City:MILLBURY
Practice Address - State:MA
Practice Address - Zip Code:01527-2641
Practice Address - Country:US
Practice Address - Phone:508-865-1223
Practice Address - Fax:508-865-6828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-30
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7364251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health