Healthcare Provider Details

I. General information

NPI: 1275241341
Provider Name (Legal Business Name): WASHINGTON HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2022
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5260 WASHINGTON ST STE 11
WEST ROXBURY MA
02132-6354
US

IV. Provider business mailing address

5260 WASHINGTON ST STE 11
WEST ROXBURY MA
02132-6354
US

V. Phone/Fax

Practice location:
  • Phone: 617-475-2400
  • Fax: 800-546-2141
Mailing address:
  • Phone: 617-475-2400
  • Fax: 800-546-2141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MAXIME JOSEPH
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 617-475-2400