Healthcare Provider Details

I. General information

NPI: 1891466009
Provider Name (Legal Business Name): LIVING AT HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2021
Last Update Date: 03/29/2023
Certification Date: 03/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 PROSPECT ST
CAMBRIDGE MA
02139-2402
US

IV. Provider business mailing address

1660 SOLDIERS FIELD RD
BRIGHTON MA
02135-1108
US

V. Phone/Fax

Practice location:
  • Phone: 617-995-3737
  • Fax: 617-995-3731
Mailing address:
  • Phone: 617-995-3737
  • Fax: 617-995-3731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: LOUISE T MURPHY
Title or Position: MANGER
Credential:
Phone: 617-995-3737