Healthcare Provider Details

I. General information

NPI: 1255151585
Provider Name (Legal Business Name): SR HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2024
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 FLUME ST
CONCORD NH
03303-3505
US

IV. Provider business mailing address

2 FLUME ST
CONCORD NH
03303-3505
US

V. Phone/Fax

Practice location:
  • Phone: 603-738-1598
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RAM DHAKAL
Title or Position: ADMINISTRATOR
Credential:
Phone: 603-738-1598