Healthcare Provider Details
I. General information
NPI: 1760790083
Provider Name (Legal Business Name): JOHNSTON & HAYES LITTLEFIELD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/21/2010
Last Update Date: 03/08/2022
Certification Date: 03/08/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
85 CONSTITUTION LN SUITE 3A1
DANVERS MA
01923-3694
US
IV. Provider business mailing address
85 CONSTITUTION LN STE 2G
DANVERS MA
01923-3627
US
V. Phone/Fax
- Phone: 978-278-3320
- Fax:
- Phone: 978-278-3320
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | TIFM |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTOPHER
LITTLEFIELD
Title or Position: OWNER
Credential:
Phone: 978-278-3320