Provider Demographics
NPI:1215238829
Name:COLLECTIVE HOME CARE, INC.
Entity type:Organization
Organization Name:COLLECTIVE HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCHBALD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:413-397-9933
Mailing Address - Street 1:110 N HILLSIDE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH DEERFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01373-9726
Mailing Address - Country:US
Mailing Address - Phone:413-397-9933
Mailing Address - Fax:413-397-9961
Practice Address - Street 1:110 N HILLSIDE RD
Practice Address - Street 2:
Practice Address - City:SOUTH DEERFIELD
Practice Address - State:MA
Practice Address - Zip Code:01373-9726
Practice Address - Country:US
Practice Address - Phone:413-397-9933
Practice Address - Fax:413-397-9961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-12
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care