Healthcare Provider Details

I. General information

NPI: 1417934654
Provider Name (Legal Business Name): MEDICAL RESOURCES HOME HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 BRAINTREE HILL OFFICE PARK STE 308
BRAINTREE MA
02184-8734
US

IV. Provider business mailing address

3010 LYNDON B JOHNSON FWY STE 1100
DALLAS TX
75234-2712
US

V. Phone/Fax

Practice location:
  • Phone: 617-969-7517
  • Fax: 617-965-9479
Mailing address:
  • Phone: 800-379-1600
  • Fax: 903-537-8420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number07
License Number StateMA

VIII. Authorized Official

Name: KATIE MONASTIERE
Title or Position: COMPLIANCE, PRIVACY & SAFETY OFFICE
Credential:
Phone: 800-379-1600