Healthcare Provider Details

I. General information

NPI: 1174255152
Provider Name (Legal Business Name): MS HOME CARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2022
Last Update Date: 06/28/2022
Certification Date: 06/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 NORTH RD UNIT 84
CHELMSFORD MA
01824-1425
US

IV. Provider business mailing address

255 NORTH RD UNIT 84
CHELMSFORD MA
01824-1425
US

V. Phone/Fax

Practice location:
  • Phone: 857-880-9459
  • Fax:
Mailing address:
  • Phone: 857-880-9459
  • Fax:

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 Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MARIAM N SERWANGA
Title or Position: PRESIDENT
Credential:
Phone: 857-880-9459