MEDICARE: HEALTHCARE ENTERPRISES 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	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1265931653
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	700 CONGRESS ST STE 204
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-0928
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	151 MAIN ST
Second Line	:
City	:	SHREWSBURY
State	:	MA
Zip	:	01545-2101
Country	:	US
Telephone Number	:	617-376-7437
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	KRISTEN DELMORE
Credential	:
Telephone Number	:	508-897-1501

Provider Enumeration Date	:	02/12/2018
Last Update Date	:	04/17/2026

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