Healthcare Provider Details
I. General information
NPI: 1336001130
Provider Name (Legal Business Name): PATRIOT HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
599 CANAL ST STE 6
LAWRENCE MA
01840-1244
US
IV. Provider business mailing address
11 STRONGWATER RD
METHUEN MA
01844-2543
US
V. Phone/Fax
- Phone: 978-376-4797
- Fax:
- Phone: 978-376-4797
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 372600000X |
| Taxonomy | Adult Companion |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
JOYCE
KARANJA
Title or Position: PRESIDENT
Credential:
Phone: 978-376-4797