Healthcare Provider Details

I. General information

NPI: 1659284982
Provider Name (Legal Business Name): CLOSE TO HOME OF SOUTHERN MASSACHUSETTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 WHITTIER PL STE 108
BOSTON MA
02114-1408
US

IV. Provider business mailing address

7 WHITTIER PL STE 108
BOSTON MA
02114-1408
US

V. Phone/Fax

Practice location:
  • Phone: 508-266-5373
  • Fax:
Mailing address:
  • Phone: 508-266-5373
  • 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: JACKELINE NUNEZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 401-301-4419