MEDICARE: NEW HAMPPSHIRE HOME CARE PROVIDERS 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	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1528566031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HAMPPSHIRE HOME CARE PROVIDERS LLC

Provider Business Mailing Address
First Line	:	22 WOODCREST HEIGHTS DR
Second Line	:
City	:	CONCORD
State	:	NH
Zip	:	03301-5855
Country	:	US
Telephone Number	:	603-848-6438
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 WOODCREST HEIGHTS DR
Second Line	:
City	:	CONCORD
State	:	NH
Zip	:	03301-5855
Country	:	US
Telephone Number	:	603-848-6438
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DILU CHHETRI RAI
Credential	:
Telephone Number	:	603-848-6438

Provider Enumeration Date	:	01/30/2018
Last Update Date	:	09/24/2018

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