Provider Demographics
NPI:1457066011
Name:TARA SURYA, LLC
Entity Type:Organization
Organization Name:TARA SURYA, LLC
Other - Org Name:SYNERGY HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIROIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-762-1114
Mailing Address - Street 1:257 WASHINGTON ST STE 2
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-1341
Mailing Address - Country:US
Mailing Address - Phone:401-451-6415
Mailing Address - Fax:
Practice Address - Street 1:257 WASHINGTON ST STE 2
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090-1341
Practice Address - Country:US
Practice Address - Phone:781-762-1114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-18
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health