Provider Demographics
NPI:1134728884
Name:BOSTON NORTHWEST HOME CARE INC.
Entity type:Organization
Organization Name:BOSTON NORTHWEST HOME CARE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:TASTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-315-6700
Mailing Address - Street 1:19A CROSBY DR STE 100
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-1419
Mailing Address - Country:US
Mailing Address - Phone:781-315-6700
Mailing Address - Fax:781-819-2087
Practice Address - Street 1:19A CROSBY DR STE 100
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-1419
Practice Address - Country:US
Practice Address - Phone:781-315-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-23
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty