Healthcare Provider Details

I. General information

NPI: 1386763167
Provider Name (Legal Business Name): HINGHAM HEALTHCAR LIMITED PARATNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 CONDITO RD
HINGHAM MA
02043-1746
US

IV. Provider business mailing address

11 CONDITO RD
HINGHAM MA
02043-1746
US

V. Phone/Fax

Practice location:
  • Phone: 781-749-4774
  • Fax: 781-749-6881
Mailing address:
  • Phone: 781-749-4774
  • Fax: 781-749-6881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number0982
License Number StateMA

VIII. Authorized Official

Name: MR. MICHAEL WELCH
Title or Position: VICE PRESIDENT
Credential:
Phone: 781-878-6700