Healthcare Provider Details
I. General information
NPI: 1013699529
Provider Name (Legal Business Name): DMELLO HOME SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/03/2023
Last Update Date: 08/03/2023
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
888 WORCESTER ST STE 130
WELLESLEY MA
02482-3744
US
IV. Provider business mailing address
841 WORCESTER ST STE 327
NATICK MA
01760-2016
US
V. Phone/Fax
- Phone: 781-943-3847
- Fax:
- Phone: 508-271-5668
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LEANDRA
CAROSSI
MELLO
Title or Position: CEO
Credential:
Phone: 781-943-3847