Provider Demographics
NPI:1255646824
Name:LINE-UP SERVICES, INC.
Entity type:Organization
Organization Name:LINE-UP SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-208-9391
Mailing Address - Street 1:115 WATER ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-3015
Mailing Address - Country:US
Mailing Address - Phone:508-282-5020
Mailing Address - Fax:508-282-5021
Practice Address - Street 1:115 WATER ST
Practice Address - Street 2:SUITE 200
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-3015
Practice Address - Country:US
Practice Address - Phone:508-282-5020
Practice Address - Fax:508-282-5021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-08
Last Update Date:2010-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MATRI7251E00000X
MA8072253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA8072OtherLICENSE TO ESTABLISH AND CONDUCT AN EMPLOYMENT AGENCY LICENSE NUMBER
MATRI7OtherTEMPORARY NURSING SERVICE AGENCY REGISTRATION NUMBER