Provider Demographics
NPI:1942758164
Name:HOMELINK HEALTH LLC
Entity Type:Organization
Organization Name:HOMELINK HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MONALISA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUPITON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:978-290-1124
Mailing Address - Street 1:985 W BROADWAY
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440-2884
Mailing Address - Country:US
Mailing Address - Phone:978-290-1124
Mailing Address - Fax:
Practice Address - Street 1:985 W BROADWAY
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-2884
Practice Address - Country:US
Practice Address - Phone:978-290-1124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-16
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0011232036251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health