=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801718796
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BLUPACK CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/29/2026
-----------------------------------------------------
Last Update Date | 07/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 22 MOUNT CARMEL WAY UNIT 414
-----------------------------------------------------
City | WORCESTER
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01605-4157
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-512-2920
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 22 MOUNT CARMEL WAY UNIT 414
-----------------------------------------------------
City | WORCESTER
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01605-4157
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-512-2920
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CO-OWNER
-----------------------------------------------------
Name | DANIEL K GYANOR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 914-719-2433
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------