Healthcare Provider Details

I. General information

NPI: 1700649514
Provider Name (Legal Business Name): SURECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2024
Last Update Date: 02/18/2024
Certification Date: 02/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 SUNSET WAY
MEDFIELD MA
02052-1046
US

IV. Provider business mailing address

45 SUNSET WAY
MEDFIELD MA
02052-1046
US

V. Phone/Fax

Practice location:
  • Phone: 869-779-2633
  • Fax:
Mailing address:
  • Phone: 869-779-2633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: OCHENNA NORAH OKORO
Title or Position: REGISTERED NURSE/OWNER
Credential:
Phone: 869-779-2633