Healthcare Provider Details

I. General information

NPI: 1073116760
Provider Name (Legal Business Name): TOP AID HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2020
Last Update Date: 02/11/2021
Certification Date: 02/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 CRESTWOOD ST
WORCESTER MA
01605-3101
US

IV. Provider business mailing address

11 CRESTWOOD ST
WORCESTER MA
01605-3101
US

V. Phone/Fax

Practice location:
  • Phone: 646-379-2482
  • Fax: 508-519-0353
Mailing address:
  • Phone: 646-379-2482
  • Fax: 508-519-0353

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JOSEPHINE Q PUTU
Title or Position: DIRECTOR
Credential: RN
Phone: 646-379-2482