Provider Demographics
NPI:1982021184
Name:MASSBAY HOME CARE, INC.
Entity Type:Organization
Organization Name:MASSBAY HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TSYBIKOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:339-204-1739
Mailing Address - Street 1:34 WELBY RD STE 106
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02745-1134
Mailing Address - Country:US
Mailing Address - Phone:339-204-1739
Mailing Address - Fax:
Practice Address - Street 1:34 WELBY RD STE 106
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02745-1134
Practice Address - Country:US
Practice Address - Phone:339-204-1739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care