MEDICARE: NP CARE OF MASSACHUSETTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043424856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NP CARE OF MASSACHUSETTS LLC

Provider Business Mailing Address
First Line	:	10 PROGRESS DR
Second Line	:	SUITE 200
City	:	SHELTON
State	:	CT
Zip	:	06484-6216
Country	:	US
Telephone Number	:	203-025-9600
Fax Number	:	203-926-0594

Provider Business Practice Location Address
First Line	:	131 MAIN ST
Second Line	:	SUITE 201
City	:	HATFIELD
State	:	MA
Zip	:	01038-9786
Country	:	US
Telephone Number	:	413-247-5878
Fax Number	:

Authorized Official
Title or Position	:	CEO, PRESIDENT
Name	:	DAVID M CHESS
Credential	:	MD
Telephone Number	:	203-925-9600

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	09/09/2008

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