Healthcare Provider Details

I. General information

NPI: 1174391684
Provider Name (Legal Business Name): MCHS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2023
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 BELMONT ST STE 3B
BROCKTON MA
02301-5289
US

IV. Provider business mailing address

37 BELMONT ST STE 3B
BROCKTON MA
02301-5289
US

V. Phone/Fax

Practice location:
  • Phone: 508-427-6671
  • Fax:
Mailing address:
  • Phone: 508-427-6671
  • Fax: 508-427-6671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: FRANTZ LOUIZIA
Title or Position: CEO
Credential:
Phone: 617-275-1502