Healthcare Provider Details

I. General information

NPI: 1255241063
Provider Name (Legal Business Name): AMADA SENIOR CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MIFFLIN PL STE 400
CAMBRIDGE MA
02138-4947
US

IV. Provider business mailing address

1 MIFFLIN PL STE 400
CAMBRIDGE MA
02138-4947
US

V. Phone/Fax

Practice location:
  • Phone: 774-757-8433
  • Fax:
Mailing address:
  • Phone: 774-757-8433
  • 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: KEVIN LIN
Title or Position: ASSOCIATE DIRECTOR
Credential:
Phone: 774-757-8433