Healthcare Provider Details

I. General information

NPI: 1720993660
Provider Name (Legal Business Name): BAY STATE HOME HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 SOUTH ST
BARRE MA
01005-8820
US

IV. Provider business mailing address

1425 SOUTH ST
BARRE MA
01005-8820
US

V. Phone/Fax

Practice location:
  • Phone: 774-757-8097
  • Fax: 774-757-8097
Mailing address:
  • Phone: 774-757-8097
  • Fax: 774-757-8097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHMOND BOATENG
Title or Position: PRESIDENT
Credential: BOATENG
Phone: 774-757-8097