Healthcare Provider Details

I. General information

NPI: 1346024304
Provider Name (Legal Business Name): ALL AT HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2023
Last Update Date: 11/21/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 LINDEN ST
ALLSTON MA
02134-1711
US

IV. Provider business mailing address

20 LINDEN ST
ALLSTON MA
02134-1711
US

V. Phone/Fax

Practice location:
  • Phone: 617-782-9800
  • Fax:
Mailing address:
  • Phone: 617-782-9800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: SUELLEN BEATY
Title or Position: VP OF OPERATIONS
Credential:
Phone: 617-782-9900