=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093075665
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SOUTH SHORE HOMECARE INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/17/2012
-----------------------------------------------------
Last Update Date | 12/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 859 WILLARD ST STE 400
-----------------------------------------------------
City | QUINCY
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02169-7469
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 617-934-1682
-----------------------------------------------------
Fax | 617-934-1686
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1681 WASHINGTON ST STE 103
-----------------------------------------------------
City | BRAINTREE
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02184-7900
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 617-934-1682
-----------------------------------------------------
Fax | 617-934-1686
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | OBIOMA ALAMBA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 617-230-8683
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 311ZA0620X
-----------------------------------------------------
Taxonomy Name | Adult Care Home Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------