Healthcare Provider Details

I. General information

NPI: 1093075665
Provider Name (Legal Business Name): SOUTH SHORE HOMECARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2012
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 BURNS AVE
QUINCY MA
02169-8110
US

IV. Provider business mailing address

1681 WASHINGTON ST STE 103
BRAINTREE MA
02184-7900
US

V. Phone/Fax

Practice location:
  • Phone: 617-934-1685
  • Fax:
Mailing address:
  • Phone: 617-934-1682
  • Fax: 617-934-1686

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: MR. OBIOMA ALAMBA
Title or Position: ADMINISTRATOR
Credential:
Phone: 617-230-8683