Healthcare Provider Details

I. General information

NPI: 1376435990
Provider Name (Legal Business Name): HOME AWAY FROM HOME CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2025
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 ALLIED DR STE 303
DEDHAM MA
02026-6148
US

IV. Provider business mailing address

3 ALLIED DR STE 303
DEDHAM MA
02026-6148
US

V. Phone/Fax

Practice location:
  • Phone: 781-244-0009
  • Fax:
Mailing address:
  • Phone: 781-244-0009
  • Fax: 781-244-0009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CAROLINE DEBORAH LAWRENCE
Title or Position: OWNER
Credential:
Phone: 781-244-0009