MEDICARE: HOLDEN HEALTHCARE SERVICES 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	251E00000X	Home Health Agency	7275	MA

General Provider Information

NPI Number	:	1588610844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLDEN HEALTHCARE SERVICES INC

Provider Business Mailing Address
First Line	:	1188 PARKER ST
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01129-1042
Country	:	US
Telephone Number	:	413-782-0002
Fax Number	:	413-782-7441

Provider Business Practice Location Address
First Line	:	1188 PARKER ST
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01129-1068
Country	:	US
Telephone Number	:	413-782-0002
Fax Number	:	413-782-7441

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. MOSES C MUGO
Credential	:	CPA, MBA
Telephone Number	:	413-782-0002

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	08/22/2020

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