Healthcare Provider Details

I. General information

NPI: 1790692028
Provider Name (Legal Business Name): IRISH HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 FAIRVIEW AVE
BRAINTREE MA
02184-6913
US

IV. Provider business mailing address

15 FAIRVIEW AVE
BRAINTREE MA
02184-6913
US

V. Phone/Fax

Practice location:
  • Phone: 617-433-8450
  • Fax:
Mailing address:
  • Phone: 617-433-8450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MRS. AUDREY URSEL RYNNE
Title or Position: OWNER
Credential:
Phone: 781-964-5199