MEDICARE: PURPLE NURSE HOME HEALTH CORP

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	:	1306579586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURPLE NURSE HOME HEALTH CORP

Provider Business Mailing Address
First Line	:	10 TOWER OFFICE PARK STE 300
Second Line	:
City	:	WOBURN
State	:	MA
Zip	:	01801-2120
Country	:	US
Telephone Number	:	617-386-3719
Fax Number	:	617-997-6301

Provider Business Practice Location Address
First Line	:	10 TOWER OFFICE PARK STE 300
Second Line	:
City	:	WOBURN
State	:	MA
Zip	:	01801-2120
Country	:	US
Telephone Number	:	617-386-3719
Fax Number	:	617-997-6301

Authorized Official
Title or Position	:	OWNER/PRESIDENT/ADMINISTRATOR
Name	:	GERTRUDE MAGEZA
Credential	:
Telephone Number	:	617-386-3719

Provider Enumeration Date	:	07/06/2022
Last Update Date	:	07/06/2022

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Directions to “PURPLE NURSE HOME HEALTH CORP ” Practice Location

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