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General NPI Number Information
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NPI Number | 1164303186
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Entity Type | Organization
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Legal Business Name | LIFECYCLE TRANSITIONS CARE
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 271C SALEM ST
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City | MALDEN
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State | MA
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Zip | 02148-4111
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Country | US
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Telephone | 781-975-6562
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Fax |
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Provider Business Mailing Address
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Address Line | 76 BITTERSWEET LN
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City | RANDOLPH
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State | MA
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Zip | 02368-3974
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Country | US
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Telephone | 781-975-6562
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. BRANDON BRONAUGH
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Credential |
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Telephone | 781-975-6562
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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