Healthcare Provider Details

I. General information

NPI: 1649960147
Provider Name (Legal Business Name): INSTANT HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2023
Last Update Date: 05/09/2023
Certification Date: 05/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 ADDISON AVE APT 2
LYNN MA
01902-1155
US

IV. Provider business mailing address

33 ADDISON AVE
LYNN MA
01902-1155
US

V. Phone/Fax

Practice location:
  • Phone: 267-629-1183
  • Fax:
Mailing address:
  • Phone: 267-629-1183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: NAFIUL HOSSAIN
Title or Position: CEO
Credential:
Phone: 267-629-1183