Provider Demographics
NPI:1194280636
Name:THREE RIVERS HOMECARE, INC.
Entity type:Organization
Organization Name:THREE RIVERS HOMECARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:KOPSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-336-3999
Mailing Address - Street 1:2 WELLMAN AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03064-1463
Mailing Address - Country:US
Mailing Address - Phone:603-336-3999
Mailing Address - Fax:603-336-3995
Practice Address - Street 1:2 WELLMAN AVE STE 110
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03064-1463
Practice Address - Country:US
Practice Address - Phone:603-336-3999
Practice Address - Fax:603-336-3995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty