Healthcare Provider Details

I. General information

NPI: 1427492149
Provider Name (Legal Business Name): ASSOCIATED HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2013
Last Update Date: 04/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 OSGOOD ST
NORTH ANDOVER MA
01845-1501
US

IV. Provider business mailing address

1011 OSGOOD ST
NORTH ANDOVER MA
01845-1501
US

V. Phone/Fax

Practice location:
  • Phone: 978-922-0745
  • Fax: 978-682-6800
Mailing address:
  • Phone: 978-922-0745
  • Fax: 978-682-6800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number8278
License Number StateMA

VIII. Authorized Official

Name: MICHAEL TRIGILIO
Title or Position: PRESIDENT
Credential:
Phone: 978-922-0745