Healthcare Provider Details

I. General information

NPI: 1073558680
Provider Name (Legal Business Name): SPECIALTY HOME CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 04/26/2022
Certification Date: 04/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 TURNPIKE RD
WESTBORO MA
01581-2830
US

IV. Provider business mailing address

182 TURNPIKE RD
WESTBORO MA
01581-2830
US

V. Phone/Fax

Practice location:
  • Phone: 508-366-1330
  • Fax: 508-870-5841
Mailing address:
  • Phone: 508-366-1330
  • Fax: 508-870-5841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberNOT YET ISSUED
License Number StateCT

VIII. Authorized Official

Name: MR. WILLIAM DAVID PANE
Title or Position: PRESIDENT
Credential:
Phone: 508-366-1330