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NPI Code Detail

MEDICARE: HOME CARE MEDICAL GROUP INC

MEDICARE: HOME CARE MEDICAL GROUP 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
1253Z00000XIn Home Supportive Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11215577333OTHERMANPI

General Provider Information

NPI Number : 1881260214
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOME CARE MEDICAL GROUP INC
Provider Business Mailing Address
First Line : 138 MOUNT VERNON ST
Second Line :
City : FITCHBURG
State : MA
Zip : 01420-2555
Country : US
Telephone Number : 978-400-5589
Fax Number :
Provider Business Practice Location Address
First Line : 138 MOUNT VERNON ST
Second Line :
City : FITCHBURG
State : MA
Zip : 01420-2555
Country : US
Telephone Number : 978-400-5589
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MR. KEVIN D ALLEYNE
Credential :
Telephone Number : 978-400-5589
Provider Enumeration Date : 05/27/2021
Last Update Date : 05/27/2021

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