Healthcare Provider Details

I. General information

NPI: 1386213528
Provider Name (Legal Business Name): WEST RIVER HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2021
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 WELLS AVE STE 20
NEWTON MA
02459-3227
US

IV. Provider business mailing address

57 WELLS AVE STE 20
NEWTON MA
02459-3227
US

V. Phone/Fax

Practice location:
  • Phone: 781-707-9000
  • Fax:
Mailing address:
  • Phone: 781-707-9085
  • 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: KALI HART
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 781-707-9578