Provider Demographics
NPI:1194410266
Name:COUNTY HOMECARE AND STAFFING LLC
Entity type:Organization
Organization Name:COUNTY HOMECARE AND STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MILDRED
Authorized Official - Middle Name:
Authorized Official - Last Name:OWINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-516-0464
Mailing Address - Street 1:456 ROLLSTONE ST
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-5215
Mailing Address - Country:US
Mailing Address - Phone:978-516-0464
Mailing Address - Fax:
Practice Address - Street 1:76 SUMMER ST STE 47
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-0200
Practice Address - Country:US
Practice Address - Phone:978-516-0464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health