MEDICARE: BROCKTON HOME HEALTH CARE AGENCY

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

General Provider Information

NPI Number	:	1245772730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROCKTON HOME HEALTH CARE AGENCY

Provider Business Mailing Address
First Line	:	71 LEGION PKWY
Second Line	:	SUITE 15
City	:	BROCKTON
State	:	MA
Zip	:	02301-7225
Country	:	US
Telephone Number	:	508-219-0101
Fax Number	:	508-281-2030

Provider Business Practice Location Address
First Line	:	71 LEGION PKWY STE 15
Second Line	:
City	:	BROCKTON
State	:	MA
Zip	:	02301-7225
Country	:	US
Telephone Number	:	508-219-0101
Fax Number	:	508-281-2030

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. PELEGE MARCELLIN
Credential	:	MBA
Telephone Number	:	508-219-0101

Provider Enumeration Date	:	11/15/2016
Last Update Date	:	01/15/2020

Similar Medicare Providers

1497697809 — ALLEVIATE COUNSELING, INC.
Practice Location Address:

71 LEGION PKWY STE 11
BROCKTON, MA
02301-7225

Practice Phone: 857-400-6071
Practice Fax:

1386150829 — QAZ HOME CARE SERVICES
Practice Location Address:

71 LEGION PKWY STE 16
BROCKTON, MA
02301-7225

Practice Phone: 508-219-0201
Practice Fax: 508-977-7535

1063219996 — BROCKTON HOME HEALTH AFC
Practice Location Address:

71 LEGION PKWY STE 15
BROCKTON, MA
02301-7225

Practice Phone: 508-219-0101
Practice Fax: 508-281-2030

1316731912 — ALLEVIATE SERVICES INC
Practice Location Address:

71 LEGION PKWY STE 11
BROCKTON, MA
02301-7225

Practice Phone: 857-400-6071
Practice Fax: 857-547-8880

1306631114 — MINDFUL INTEGRATIVE HEALTH LLC
Practice Location Address:

71 LEGION PKWY STE 26
BROCKTON, MA
02301-7225

Practice Phone: 774-826-6348
Practice Fax:

1336930387 — LOUISDOR GAY JR. CO-OWNER
Practice Location Address:

71 LEGION PKWY STE 26
BROCKTON, MA
02301-7225

Practice Phone: 508-409-0489
Practice Fax:

Directions to “BROCKTON HOME HEALTH CARE AGENCY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.