MEDICARE: CHELMSFORD HEALTH CARE SERVICES 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

General Provider Information

NPI Number	:	1528781713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHELMSFORD HEALTH CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	1600 OSGOOD ST STE 3059-07
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-1048
Country	:	US
Telephone Number	:	978-876-3173
Fax Number	:	978-856-8206

Provider Business Practice Location Address
First Line	:	1600 OSGOOD ST STE 3059-07
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-1048
Country	:	US
Telephone Number	:	978-876-3173
Fax Number	:	978-856-8206

Authorized Official
Title or Position	:	OWNER
Name	:	BETH W MUNGAI
Credential	:
Telephone Number	:	978-876-3173

Provider Enumeration Date	:	09/22/2022
Last Update Date	:	09/03/2025

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