Healthcare Provider Details

I. General information

NPI: 1073457594
Provider Name (Legal Business Name): KASEDOC HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 HALLRON ST
HYDE PARK MA
02136-1311
US

IV. Provider business mailing address

63 HALLRON ST
HYDE PARK MA
02136-1311
US

V. Phone/Fax

Practice location:
  • Phone: 617-513-3621
  • Fax:
Mailing address:
  • Phone: 617-513-3621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ROSETTE NAKALEMA
Title or Position: CEO
Credential: NAKALEMA
Phone: 517-348-5476