Healthcare Provider Details

I. General information

NPI: 1881694503
Provider Name (Legal Business Name): CAPUANO HOME HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2005
Last Update Date: 07/21/2022
Certification Date: 01/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 BENTON DR STE 201
E LONGMEADOW MA
01028-3219
US

IV. Provider business mailing address

265 BENTON DR STE 201
E LONGMEADOW MA
01028-3219
US

V. Phone/Fax

Practice location:
  • Phone: 413-525-2124
  • Fax: 413-525-5691
Mailing address:
  • Phone: 413-525-2124
  • Fax: 413-525-5691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMA

VIII. Authorized Official

Name: MRS. TIARA CHATMAN
Title or Position: CEO
Credential: RN
Phone: 413-525-2124