Provider Demographics
NPI:1275400301
Name:KOSMIC CORP DBA HOME MATTERS CAREGIVING 036
Entity type:Organization
Organization Name:KOSMIC CORP DBA HOME MATTERS CAREGIVING 036
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:FONIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-637-6040
Mailing Address - Street 1:252 MIDDLEBORO AVE
Mailing Address - Street 2:
Mailing Address - City:EAST TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02718-5110
Mailing Address - Country:US
Mailing Address - Phone:781-202-1717
Mailing Address - Fax:
Practice Address - Street 1:252 MIDDLEBORO AVE
Practice Address - Street 2:
Practice Address - City:EAST TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02718-5110
Practice Address - Country:US
Practice Address - Phone:781-202-1717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-22
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care