Healthcare Provider Details

I. General information

NPI: 1497614895
Provider Name (Legal Business Name): BOSTON LIFE-CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 KENNEDY DR APT 103
MALDEN MA
02148-3306
US

IV. Provider business mailing address

244 KENNEDY DR APT 103
MALDEN MA
02148-3306
US

V. Phone/Fax

Practice location:
  • Phone: 781-513-0038
  • Fax:
Mailing address:
  • Phone: 781-513-0038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. KUDAKWASHE FARAI KACHERE
Title or Position: CEO
Credential:
Phone: 781-513-0038