Healthcare Provider Details

I. General information

NPI: 1972442168
Provider Name (Legal Business Name): ENTRUSTED FAMILY HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 PERRY ST
STOUGHTON MA
02072-4308
US

IV. Provider business mailing address

4 PERRY ST
STOUGHTON MA
02072-4308
US

V. Phone/Fax

Practice location:
  • Phone: 800-669-6395
  • Fax: 800-669-6395
Mailing address:
  • Phone: 800-669-6395
  • Fax: 800-669-6395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health 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: FARAH DALEXIS
Title or Position: OWNER/VICE PRESIDENT
Credential:
Phone: 800-669-6395