Healthcare Provider Details

I. General information

NPI: 1982512562
Provider Name (Legal Business Name): WILLIMANTIC ELDERLY SERVICES, LLC,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 FEDERAL ST STE 2400
BOSTON MA
02110-1817
US

IV. Provider business mailing address

101 FEDERAL ST STE 2400
BOSTON MA
02110-1817
US

V. Phone/Fax

Practice location:
  • Phone: 617-784-7643
  • Fax:
Mailing address:
  • Phone: 617-784-7643
  • 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: BENEDIKT REIGER
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 617-314-4100