Provider Demographics
NPI:1225999493
Name:MALACH HEALTHCARE
Entity type:Organization
Organization Name:MALACH HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE KAZIBWE
Authorized Official - Middle Name:
Authorized Official - Last Name:NAZZIWA
Authorized Official - Suffix:
Authorized Official - Credentials:SOCIAL WORKER
Authorized Official - Phone:781-697-6330
Mailing Address - Street 1:740 MAIN ST STE 102
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-0607
Mailing Address - Country:US
Mailing Address - Phone:781-697-6330
Mailing Address - Fax:
Practice Address - Street 1:740 MAIN ST STE 102
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-0607
Practice Address - Country:US
Practice Address - Phone:781-697-6330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMPATH HOMES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-11-18
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty