Healthcare Provider Details

I. General information

NPI: 1245143387
Provider Name (Legal Business Name): ANDOVER IN-HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 CANDLESTICK RD
NORTH ANDOVER MA
01845-3238
US

IV. Provider business mailing address

120 CANDLESTICK RD
NORTH ANDOVER MA
01845-3238
US

V. Phone/Fax

Practice location:
  • Phone: 978-206-1310
  • Fax:
Mailing address:
  • Phone: 978-206-1310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: GEORGE HADGIANNIS
Title or Position: OWNER / CEO
Credential:
Phone: 978-206-1310