MEDICARE: SAMAMYSA HOME ADULT FOSTER CARE, INC.

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	372500000X	Chore Provider

General Provider Information

NPI Number	:	1528926557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMAMYSA HOME ADULT FOSTER CARE, INC.

Provider Business Mailing Address
First Line	:	138 TURNPIKE ST
Second Line	:
City	:	CANTON
State	:	MA
Zip	:	02021-1305
Country	:	US
Telephone Number	:	781-436-5623
Fax Number	:	617-702-8190

Provider Business Practice Location Address
First Line	:	138 TURNPIKE ST
Second Line	:
City	:	CANTON
State	:	MA
Zip	:	02021-1305
Country	:	US
Telephone Number	:	781-436-5623
Fax Number	:	617-702-8190

Authorized Official
Title or Position	:	CO-DIRECTOR
Name	:	MS. MARYSE ROSE ALEXANDRE
Credential	:
Telephone Number	:	781-436-5623

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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