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General NPI Number Information
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NPI Number | 1245414721
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Entity Type | Organization
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Legal Business Name | CAREGIVER HOMES OF MASSACHUSETTS, INC
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Dates
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Enumeration Date | 12/20/2007
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 11 MIDSTATE DR STE 22
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City | AUBURN
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State | MA
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Zip | 01501-1886
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Country | US
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Telephone | 617-797-0673
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Fax | 617-236-7777
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Provider Business Mailing Address
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Address Line | 11 MIDSTATE DR STE 22
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City | AUBURN
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State | MA
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Zip | 01501-1886
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Country | US
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Telephone | 617-797-0673
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Fax | 617-236-7777
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | AMY SMITH
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Credential |
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Telephone | 617-797-0673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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