Healthcare Provider Details

I. General information

NPI: 1477475523
Provider Name (Legal Business Name): TRESALUS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1506 BOSTON PROVIDENCE TPKE UNIT 30
NORWOOD MA
02062-4647
US

IV. Provider business mailing address

35 PETRINI CIR
NEEDHAM MA
02492-4432
US

V. Phone/Fax

Practice location:
  • Phone: 508-320-2700
  • Fax:
Mailing address:
  • Phone: 508-320-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ADAM R GOLDBERG
Title or Position: MANAGER/CEO
Credential:
Phone: 508-320-2700