Provider Demographics
NPI:1639911605
Name:AGING WELL HOMECARE, LLC
Entity type:Organization
Organization Name:AGING WELL HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:978-618-7621
Mailing Address - Street 1:24 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BROOKFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01535-1534
Mailing Address - Country:US
Mailing Address - Phone:978-618-7621
Mailing Address - Fax:
Practice Address - Street 1:3020 N POST RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46226-6500
Practice Address - Country:US
Practice Address - Phone:978-618-7621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:3020 NORTH POST RD, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health