Healthcare Provider Details

I. General information

NPI: 1376407619
Provider Name (Legal Business Name): CHIMA HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CAMBRIDGE ST FL 14
BOSTON MA
02114-2509
US

IV. Provider business mailing address

210 PARK AVE STE 127
WORCESTER MA
01609-2246
US

V. Phone/Fax

Practice location:
  • Phone: 617-819-5593
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LYDIA SNOWIE
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 617-819-5593