MEDICARE: CARECONNECT SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1497491286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARECONNECT SERVICES

Provider Business Mailing Address
First Line	:	142 SPRING ST
Second Line	:
City	:	STONEHAM
State	:	MA
Zip	:	02180-1467
Country	:	US
Telephone Number	:	617-852-6299
Fax Number	:

Provider Business Practice Location Address
First Line	:	142 SPRING ST
Second Line	:
City	:	STONEHAM
State	:	MA
Zip	:	02180-1467
Country	:	US
Telephone Number	:	617-852-6299
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BARBARA RAY
Credential	:
Telephone Number	:	617-750-0245

Provider Enumeration Date	:	05/05/2022
Last Update Date	:	06/09/2022

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