Healthcare Provider Details
I. General information
NPI: 1598757478
Provider Name (Legal Business Name): SPECTRUM HOME HEALTH AND HOSPICE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/17/2005
Last Update Date: 02/27/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
770 CONVERSE ST
LONGMEADOW MA
01106-1719
US
IV. Provider business mailing address
770 CONVERSE ST
LONGMEADOW MA
01106-1719
US
V. Phone/Fax
- Phone: 413-567-4600
- Fax: 413-567-3782
- Phone: 413-567-4600
- Fax: 413-567-3782
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
JENNIFER
SANTERRE
Title or Position: CFO
Credential: CPA
Phone: 978-471-5146