Provider Demographics
NPI:1013351469
Name:BENEFICENCE HOME HEALTHCARE INC.
Entity Type:Organization
Organization Name:BENEFICENCE HOME HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HUGUES
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFOND
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:617-514-2424
Mailing Address - Street 1:500 GRANITE AVE
Mailing Address - Street 2:SUITE # 5
Mailing Address - City:MILTON
Mailing Address - State:MA
Mailing Address - Zip Code:02186-5626
Mailing Address - Country:US
Mailing Address - Phone:617-514-2424
Mailing Address - Fax:617-514-0626
Practice Address - Street 1:500 GRANITE AVE
Practice Address - Street 2:SUITE # 5
Practice Address - City:MILTON
Practice Address - State:MA
Practice Address - Zip Code:02186-5626
Practice Address - Country:US
Practice Address - Phone:617-514-2424
Practice Address - Fax:617-514-0626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-28
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110101430AMedicaid
MA227594Medicare PIN