MEDICARE: SOUTH SHORE HOMECARE INC.

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	251E00000X	Home Health Agency

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	:	1093075665
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH SHORE HOMECARE INC.

Provider Business Mailing Address
First Line	:	1681 WASHINGTON ST STE 103
Second Line	:
City	:	BRAINTREE
State	:	MA
Zip	:	02184-7900
Country	:	US
Telephone Number	:	617-934-1682
Fax Number	:	617-934-1686

Provider Business Practice Location Address
First Line	:	48 BURNS AVE
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-8110
Country	:	US
Telephone Number	:	617-934-1685
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. OBIOMA ALAMBA
Credential	:
Telephone Number	:	617-230-8683

Provider Enumeration Date	:	05/17/2012
Last Update Date	:	06/12/2026

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