Healthcare Provider Details

I. General information

NPI: 1699617639
Provider Name (Legal Business Name): LEAH DOROCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 BASSETT LN STE 211
HYANNIS MA
02601-3813
US

IV. Provider business mailing address

PO BOX 3394
WESTPORT MA
02790-0713
US

V. Phone/Fax

Practice location:
  • Phone: 833-726-2824
  • Fax:
Mailing address:
  • Phone: 833-726-2824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: