Provider Demographics
NPI:1255181400
Name:NOURRIR HOMECARE SERVICES
Entity type:Organization
Organization Name:NOURRIR HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROXANNE
Authorized Official - Middle Name:S
Authorized Official - Last Name:SANGSTAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:161-720-3677
Mailing Address - Street 1:202 WASHINGTON ST STE 355
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7622
Mailing Address - Country:US
Mailing Address - Phone:617-203-6777
Mailing Address - Fax:
Practice Address - Street 1:202 WASHINGTON ST STE 355
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7622
Practice Address - Country:US
Practice Address - Phone:617-203-6777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health