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NPI Code Detail

MEDICARE: SPIRE HOME HEALTH CARE AGENCY LLC

MEDICARE: SPIRE HOME HEALTH CARE AGENCY 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1598127573
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPIRE HOME HEALTH CARE AGENCY LLC
Provider Business Mailing Address
First Line : 1500 DISTRICT AVE
Second Line : 2042
City : BURLINGTON
State : MA
Zip : 01803-5069
Country : US
Telephone Number : 678-502-0146
Fax Number :
Provider Business Practice Location Address
First Line : 1500 DISTRICT AVE
Second Line : 2042
City : BURLINGTON
State : MA
Zip : 01803-5069
Country : US
Telephone Number : 678-502-0146
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ADRIAN HOLLINGSHED
Credential :
Telephone Number : 678-502-0146
Provider Enumeration Date : 03/28/2016
Last Update Date : 04/13/2016

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Directions to “SPIRE HOME HEALTH CARE AGENCY LLC ” Practice Location

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