Healthcare Provider Details

I. General information

NPI: 1619051810
Provider Name (Legal Business Name): SHRIVER NURSING SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 07/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 W MAIN ST
WESTBOROUGH MA
01581
US

IV. Provider business mailing address

36 W MAIN ST
WESTBOROUGH MA
01581-1902
US

V. Phone/Fax

Practice location:
  • Phone: 508-475-0493
  • Fax: 781-475-0410
Mailing address:
  • Phone: 508-475-0493
  • Fax: 508-475-0410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number0605221
License Number StateMA

VIII. Authorized Official

Name: MRS. CAROLYN VH BRENNAN
Title or Position: VICE PRESIDENT OF CLINICAL AFFAIRS
Credential: RN, MSN
Phone: 508-475-0493