Provider Demographics
NPI:1356338529
Name:TUFTS MEDICINE CARE AT HOME, INC.
Entity type:Organization
Organization Name:TUFTS MEDICINE CARE AT HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-552-4000
Mailing Address - Street 1:360 MERRIMACK ST STE 425
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-2165
Mailing Address - Country:US
Mailing Address - Phone:978-552-4000
Mailing Address - Fax:978-552-4399
Practice Address - Street 1:360 MERRIMACK ST STE 425
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-2165
Practice Address - Country:US
Practice Address - Phone:978-552-4000
Practice Address - Fax:978-552-4399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-04
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1939742OtherUNITED HEALTH CARE
MA0604542Medicaid
MA2085486OtherAETNA
MA99809301OtherNETWORK HEALTH
MA0017922OtherNEIGHBORHOOD HEALTH
MA221508OtherBLUE CROSS
MA6555OtherFALLON
MA110024339AMedicaid
MA221508OtherANTHEM BLUE CROSS
MA701981OtherHARVARD PILGRIM HEALTH CA
MA801524OtherTUFTS
NH3086592Medicaid
MA701981OtherHARVARD PILGRIM HEALTH CA