Healthcare Provider Details

I. General information

NPI: 1922775899
Provider Name (Legal Business Name): HEALTH CARE OF AMERICA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2021
Last Update Date: 08/26/2021
Certification Date: 08/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 MONTVALE AVE STE 650
WOBURN MA
01801-4678
US

IV. Provider business mailing address

26 COLSON WAY
RANDOLPH MA
02368-2752
US

V. Phone/Fax

Practice location:
  • Phone: 781-589-4496
  • Fax:
Mailing address:
  • Phone: 781-589-4496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. PETER KARANJA
Title or Position: ADMINISTRATOR
Credential:
Phone: 781-589-4496