Healthcare Provider Details

I. General information

NPI: 1154351328
Provider Name (Legal Business Name): NORTH HILL NEEDHAM, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 03/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

865 CENTRAL AVE SUITE I306
NEEDHAM MA
02492-1316
US

IV. Provider business mailing address

865 CENTRAL AVE SUITE I306
NEEDHAM MA
02492-1316
US

V. Phone/Fax

Practice location:
  • Phone: 781-433-6316
  • Fax: 781-453-7347
Mailing address:
  • Phone: 781-433-6316
  • Fax: 781-453-7347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. ALICE L ROSE
Title or Position: HOME HEALTH ADMINISTRATOR
Credential: RN NP
Phone: 781-433-6316