Healthcare Provider Details

I. General information

NPI: 1780454652
Provider Name (Legal Business Name): AIDALY CARE MASSACHUSETTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2024
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 BRICKSTONE SQ STE 201
ANDOVER MA
01810-1497
US

IV. Provider business mailing address

300 BRICKSTONE SQ STE 201
ANDOVER MA
01810-1497
US

V. Phone/Fax

Practice location:
  • Phone: 617-765-9747
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ALISON HAJJ
Title or Position: VP OF ADMINISTRATION
Credential:
Phone: 623-400-6858