Provider Demographics
NPI:1104405489
Name:KEREN ZM HOME HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:KEREN ZM HOME HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:NAMUKAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-818-5043
Mailing Address - Street 1:45 MIDDLESEX RD
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02452-6169
Mailing Address - Country:US
Mailing Address - Phone:617-818-5043
Mailing Address - Fax:
Practice Address - Street 1:45 MIDDLESEX RD
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-6169
Practice Address - Country:US
Practice Address - Phone:617-818-5043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health