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General NPI Number Information
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NPI Number | 1205317252
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Entity Type | Organization
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Legal Business Name | PRIVY HOMECARE SERVICES, LLC
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Dates
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Enumeration Date | 08/28/2018
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 462 WASHINGTON ST STE 3
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City | WELLESLEY
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State | MA
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Zip | 02482-5908
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Country | US
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Telephone | 781-304-8585
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Fax | 857-557-6250
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Provider Business Mailing Address
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Address Line | 462 WASHINGTON ST STE 3
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City | WELLESLEY
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State | MA
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Zip | 02482-5908
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Country | US
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Telephone | 781-304-8585
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Fax | 857-557-6250
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MONETTE ROBERSON
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Credential | AUTHORIZE OFFICIAL
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Telephone | 617-276-4902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | MA
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