Healthcare Provider Details

I. General information

NPI: 1396615100
Provider Name (Legal Business Name): MAS HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 CANAL ST STE 200
MANCHESTER NH
03101-2335
US

IV. Provider business mailing address

175 CANAL ST STE 200
MANCHESTER NH
03101-2335
US

V. Phone/Fax

Practice location:
  • Phone: 603-263-5392
  • Fax: 603-206-8390
Mailing address:
  • Phone: 603-263-5392
  • Fax: 603-206-8390

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: PHILIP GARRISON
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 312-399-5172