Healthcare Provider Details

I. General information

NPI: 1760916654
Provider Name (Legal Business Name): MSM GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2017
Last Update Date: 04/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

859 WILLARD ST
QUINCY MA
02169-7482
US

IV. Provider business mailing address

859 WILLARD ST
QUINCY MA
02169-7482
US

V. Phone/Fax

Practice location:
  • Phone: 800-985-5354
  • Fax: 800-985-5354
Mailing address:
  • Phone: 800-985-5354
  • Fax: 800-985-5354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number3241
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MR. SONY ASMATH I
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MBA
Phone: 617-820-9803