Healthcare Provider Details

I. General information

NPI: 1912523721
Provider Name (Legal Business Name): HURWITZ HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2020
Last Update Date: 06/18/2020
Certification Date: 06/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CITY HALL MALL STE C
MEDFORD MA
02155-4770
US

IV. Provider business mailing address

1 CITY HALL MALL STE C
MEDFORD MA
02155-4770
US

V. Phone/Fax

Practice location:
  • Phone: 781-395-0023
  • Fax: 781-395-0025
Mailing address:
  • Phone: 781-395-0023
  • Fax: 781-395-0025

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: KAREN HURWITZ
Title or Position: OWNER
Credential:
Phone: 781-395-0023