Provider Demographics
NPI:1063248169
Name:CENTURY HEALTHCARE MANAGEMENT
Entity type:Organization
Organization Name:CENTURY HEALTHCARE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DAPHNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:COLIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:508-857-2108
Mailing Address - Street 1:160 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-4013
Mailing Address - Country:US
Mailing Address - Phone:508-857-2108
Mailing Address - Fax:
Practice Address - Street 1:160 MAIN ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-4013
Practice Address - Country:US
Practice Address - Phone:508-857-2108
Practice Address - Fax:508-857-2114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251300000XAgenciesLocal Education Agency (LEA)
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care