Provider Demographics
NPI:1265062665
Name:DESIRED HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:DESIRED HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABIGAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBENDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-818-1721
Mailing Address - Street 1:1 CHRYSLER RD APT 609
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-1658
Mailing Address - Country:US
Mailing Address - Phone:617-818-1721
Mailing Address - Fax:
Practice Address - Street 1:1 CHRYSLER RD APT 609
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-1658
Practice Address - Country:US
Practice Address - Phone:617-818-1721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-24
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care