MEDICARE: HURWITZ HOME CARE 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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1912523721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HURWITZ HOME CARE LLC

Provider Business Mailing Address
First Line	:	1 CITY HALL MALL STE C
Second Line	:
City	:	MEDFORD
State	:	MA
Zip	:	02155-4770
Country	:	US
Telephone Number	:	781-395-0023
Fax Number	:	781-395-0025

Provider Business Practice Location Address
First Line	:	1 CITY HALL MALL STE C
Second Line	:
City	:	MEDFORD
State	:	MA
Zip	:	02155-4770
Country	:	US
Telephone Number	:	781-395-0023
Fax Number	:	781-395-0025

Authorized Official
Title or Position	:	OWNER
Name	:	KAREN HURWITZ
Credential	:
Telephone Number	:	781-395-0023

Provider Enumeration Date	:	06/18/2020
Last Update Date	:	06/18/2020

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