Provider Demographics
NPI:1750155206
Name:EXPRESS HEALTHCARE GROUP INC
Entity type:Organization
Organization Name:EXPRESS HEALTHCARE GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:M
Authorized Official - Last Name:MONGARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-335-2123
Mailing Address - Street 1:241 WAVERLEY RD
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-3530
Mailing Address - Country:US
Mailing Address - Phone:978-335-2123
Mailing Address - Fax:978-688-0230
Practice Address - Street 1:241 WAVERLEY RD
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-3530
Practice Address - Country:US
Practice Address - Phone:978-335-2123
Practice Address - Fax:978-688-0230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-14
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health