Healthcare Provider Details

I. General information

NPI: 1730619008
Provider Name (Legal Business Name): METRO WEST HOMECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 NORTH RD STE F-130
SUDBURY MA
01776-1142
US

IV. Provider business mailing address

142 NORTH RD STE F-130
SUDBURY MA
01776-1142
US

V. Phone/Fax

Practice location:
  • Phone: 978-287-2002
  • Fax: 978-287-5060
Mailing address:
  • Phone: 978-287-2002
  • Fax: 978-287-5060

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: JOSEPH L CHAMBERLAIN
Title or Position: DIRECTOR
Credential:
Phone: 978-287-2002