Healthcare Provider Details

I. General information

NPI: 1578310983
Provider Name (Legal Business Name): FLACARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2024
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 CHESTNUT ST UNIT 305
SPRINGFIELD MA
01103-1100
US

IV. Provider business mailing address

235 CHESTNUT ST UNIT 305
SPRINGFIELD MA
01103-1100
US

V. Phone/Fax

Practice location:
  • Phone: 413-317-0492
  • Fax:
Mailing address:
  • Phone: 413-317-0492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. HUSSEIN M ALSULTANI
Title or Position: OWNER
Credential:
Phone: 413-636-1389