Healthcare Provider Details

I. General information

NPI: 1972061299
Provider Name (Legal Business Name): HOME CARE ADVOCATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2019
Last Update Date: 07/14/2020
Certification Date: 07/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 BURLINGTON WOODS DR STE 100
BURLINGTON MA
01803-4551
US

IV. Provider business mailing address

PO BOX 2044
WOBURN MA
01888-0044
US

V. Phone/Fax

Practice location:
  • Phone: 857-316-6554
  • Fax: 781-995-0016
Mailing address:
  • Phone: 857-316-6554
  • Fax: 781-995-0016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DERRICK KIIZA
Title or Position: CEO
Credential:
Phone: 857-316-6554