Healthcare Provider Details

I. General information

NPI: 1134860943
Provider Name (Legal Business Name): ONYX HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 BOSTON POST RD W STE 395
MARLBOROUGH MA
01752-1855
US

IV. Provider business mailing address

11 APEX DR STE 300A PMB 22
MARLBOROUGH MA
01752-1977
US

V. Phone/Fax

Practice location:
  • Phone: 617-789-8168
  • Fax: 617-396-3016
Mailing address:
  • Phone: 617-789-8168
  • Fax: 617-396-3019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL L MANCHESTER-MILES
Title or Position: DIRECTOR OF OPERATIONS
Credential: LICSW,LADC-1
Phone: 617-249-3577