MEDICARE: GROWTH IN HEALTH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	251E00000X	Home Health Agency
4	251G00000X	Community Based Hospice Care Agency
5	251J00000X	Nursing Care Agency
6	251S00000X	Community/Behavioral Health Agency
7	253Z00000X	In Home Supportive Care Agency
8	332B00000X	Durable Medical Equipment & Medical Supplies
9	332BC3200X	Customized Equipment (DME)
10	332U00000X	Home Delivered Meals
11	343900000X	Non-emergency Medical Transport (VAN)
12	347E00000X	Transportation Broker
13	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1609340124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROWTH IN HEALTH INC

Provider Business Mailing Address
First Line	:	319A UNION ST
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02740-5014
Country	:	US
Telephone Number	:	508-465-6500
Fax Number	:

Provider Business Practice Location Address
First Line	:	319A UNION ST
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02740-5014
Country	:	US
Telephone Number	:	508-465-6500
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JEFFREY PEPI
Credential	:
Telephone Number	:	508-465-6500

Provider Enumeration Date	:	01/17/2019
Last Update Date	:	01/17/2019

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