Healthcare Provider Details

I. General information

NPI: 1245675776
Provider Name (Legal Business Name): ENTYRE CARE MASSACHUSETTS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2013
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 FEDERAL ST # 2400
BOSTON MA
02110-1817
US

IV. Provider business mailing address

101 FEDERAL ST # 2400
BOSTON MA
02110-1817
US

V. Phone/Fax

Practice location:
  • Phone: 866-963-2958
  • Fax: 866-566-0746
Mailing address:
  • Phone: 866-963-2958
  • Fax: 866-566-0746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MEGAN KATHLEEN GAW
Title or Position: MA PROGRAM DIRECTOR
Credential: LICSW
Phone: 508-642-5823