Healthcare Provider Details

I. General information

NPI: 1902284748
Provider Name (Legal Business Name): CONSTELLATION HOME CARE MA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2015
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38R MERRIMAC ST STE 201
NEWBURYPORT MA
01950-2662
US

IV. Provider business mailing address

14 WESTPORT AVE
NORWALK CT
06851-3915
US

V. Phone/Fax

Practice location:
  • Phone: 978-904-3059
  • Fax: 978-319-4019
Mailing address:
  • Phone: 978-904-3059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: YITZCHOK STEG
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 888-895-7695