Healthcare Provider Details

I. General information

NPI: 1215936273
Provider Name (Legal Business Name): ALL CARE RESOURCES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 06/08/2022
Certification Date: 06/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 MARKET ST
LYNN MA
01901-1536
US

IV. Provider business mailing address

210 MARKET ST
LYNN MA
01901-1536
US

V. Phone/Fax

Practice location:
  • Phone: 781-598-2454
  • Fax: 781-586-1634
Mailing address:
  • Phone: 781-598-2454
  • Fax: 781-586-1634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JO-MARY KOOPMAN
Title or Position: PRESIDENT
Credential:
Phone: 508-641-8554