Provider Demographics
NPI:1336455989
Name:NEW ENGLAND HOME CARE SOLUTIONS INC
Entity Type:Organization
Organization Name:NEW ENGLAND HOME CARE SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOSES
Authorized Official - Middle Name:
Authorized Official - Last Name:WAKANGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-328-2038
Mailing Address - Street 1:1565 LAKEVIEW AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-3324
Mailing Address - Country:US
Mailing Address - Phone:978-455-4035
Mailing Address - Fax:978-560-0944
Practice Address - Street 1:1565 LAKEVIEW AVE
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-3324
Practice Address - Country:US
Practice Address - Phone:978-455-4035
Practice Address - Fax:978-560-0944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-20
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
227546OtherCCN/PTAN
MAA11092994Medicaid