Healthcare Provider Details

I. General information

NPI: 1417506155
Provider Name (Legal Business Name): MEANINGFUL HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2019
Last Update Date: 07/15/2021
Certification Date: 07/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 AYER RD STE B-120
HARVARD MA
01451-1132
US

IV. Provider business mailing address

325 AYER RD STE B-120
HARVARD MA
01451-1132
US

V. Phone/Fax

Practice location:
  • Phone: 978-391-7000
  • Fax: 978-391-1702
Mailing address:
  • Phone: 978-391-7000
  • Fax: 978-391-1702

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QV0200X
TaxonomyVA Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. LANETTE MARIE DUGGAN
Title or Position: PRESIDENT
Credential:
Phone: 978-391-1700