Healthcare Provider Details

I. General information

NPI: 1407251150
Provider Name (Legal Business Name): FAMILIES TOGETHER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2014
Last Update Date: 08/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 MAIN ST
LEICESTER MA
01524-1916
US

IV. Provider business mailing address

1601 MAIN ST
LEICESTER MA
01524-1916
US

V. Phone/Fax

Practice location:
  • Phone: 508-892-5210
  • Fax: 508-892-5172
Mailing address:
  • Phone: 508-892-5210
  • Fax: 508-892-5172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MR. DANIEL E ESTEVEZ
Title or Position: FOUNDER/CEO
Credential: BA
Phone: 508-892-5210