Basic Information
| Provider Information | |||||||||
| NPI: | 1841514122 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALL CARE HOMECARE, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 294 PLEASANT ST | ||||||||
| Address2: | SUITE 205B | ||||||||
| City: | STOUGHTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020722571 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5083601313 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10 JOHNSON DR | ||||||||
| Address2: | |||||||||
| City: | NORTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027662345 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5083601313 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/16/2010 | ||||||||
| LastUpdateDate: | 08/23/2021 | ||||||||
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| AuthorizedOfficialLastName: | PETTIGREW | ||||||||
| AuthorizedOfficialFirstName: | SCHREE | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5083601313 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | NP | ||||||||
| NPICertificationDate: | 08/20/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0802X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Addiction Psychiatry | 251E00000X | Y | Agencies | Home Health |
No ID Information.