Healthcare Provider Details

I. General information

NPI: 1184858201
Provider Name (Legal Business Name): LIVINGSPRING HOME HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2009
Last Update Date: 05/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

584 CAMBRIDGE ST
WORCESTER MA
01610-2627
US

IV. Provider business mailing address

584 CAMBRIDGE ST
WORCESTER MA
01610-2627
US

V. Phone/Fax

Practice location:
  • Phone: 978-609-4433
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. BUKOLA TAIWO OYEKUNLE
Title or Position: TREASURER
Credential:
Phone: 978-609-4433