MEDICARE: NEW ENGLAND LIFE CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251F00000X	Home Infusion Agency
3	332B00000X	Durable Medical Equipment & Medical Supplies
4	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
5	3336S0011X	Specialty Pharmacy
6	3336H0001X	Home Infusion Therapy Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2603743Y0NH01	OTHER	NH	ANTHEM NH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083748867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW ENGLAND LIFE CARE, INC.

Provider Business Mailing Address
First Line	:	45 CENTER ST STE A
Second Line	:
City	:	SCARBOROUGH
State	:	ME
Zip	:	04074-6503
Country	:	US
Telephone Number	:	207-321-6352
Fax Number	:	207-321-6353

Provider Business Practice Location Address
First Line	:	41C TERRILL PARK DRIVE
Second Line	:
City	:	CONCORD
State	:	NH
Zip	:	03301
Country	:	US
Telephone Number	:	800-338-8022
Fax Number	:	603-225-0684

Authorized Official
Title or Position	:	CFO
Name	:	MR. MICHAEL GALLAGHER
Credential	:
Telephone Number	:	781-932-4347

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	01/18/2024

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