Healthcare Provider Details

I. General information

NPI: 1346592391
Provider Name (Legal Business Name): CENTURY HOMECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2012
Last Update Date: 04/27/2023
Certification Date: 04/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 WATER ST STE 2
WORCESTER MA
01604-5041
US

IV. Provider business mailing address

65 WATER ST 2ND FLOOR
WORCESTER MA
01604-5041
US

V. Phone/Fax

Practice location:
  • Phone: 508-762-4040
  • Fax: 877-992-3820
Mailing address:
  • Phone: 888-292-1809
  • Fax: 877-992-3820

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: MILKA NJOROGE
Title or Position: CEO
Credential:
Phone: 508-762-4038