Healthcare Provider Details

I. General information

NPI: 1871824052
Provider Name (Legal Business Name): CAREPROVIDERS OF BLACKSTONE VALLEY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2010
Last Update Date: 01/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

176 WORCESTER PROVIDENCE TPKE SUITE 205
SUTTON MA
01590-1901
US

IV. Provider business mailing address

176 WORCESTER PROVIDENCE TPKE SUITE 205
SUTTON MA
01590-1901
US

V. Phone/Fax

Practice location:
  • Phone: 508-579-9505
  • Fax: 508-377-4578
Mailing address:
  • Phone: 508-579-9505
  • Fax: 508-377-4578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. DAVID L ROKES
Title or Position: CEO
Credential: RN
Phone: 508-579-9505