Healthcare Provider Details

I. General information

NPI: 1881521037
Provider Name (Legal Business Name): FAMILY FRIENDS BOSTON II LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 BOSTON RD STE 201-E
BILLERICA MA
01821-3783
US

IV. Provider business mailing address

630 BOSTON RD STE 201-E
BILLERICA MA
01821-3783
US

V. Phone/Fax

Practice location:
  • Phone: 617-777-6898
  • 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

VIII. Authorized Official

Name: CAROLYNE NAMAKULA
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 617-777-6898