Provider Demographics
NPI:1477382885
Name:FOREVER CARE
Entity type:Organization
Organization Name:FOREVER CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-631-5889
Mailing Address - Street 1:963 CHELMSFORD ST FL 2
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01851-5131
Mailing Address - Country:US
Mailing Address - Phone:978-631-5889
Mailing Address - Fax:
Practice Address - Street 1:963 CHELMSFORD ST FL 2
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851-5131
Practice Address - Country:US
Practice Address - Phone:978-631-5889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health