Provider Demographics
NPI:1245190321
Name:RAVENS HOME CARE INC
Entity type:Organization
Organization Name:RAVENS HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LILLIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KASOZI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:978-514-9086
Mailing Address - Street 1:114 WATER TOWER PL # 1028
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-2248
Mailing Address - Country:US
Mailing Address - Phone:978-514-9086
Mailing Address - Fax:774-374-8058
Practice Address - Street 1:4 SAMOSET DR
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-4770
Practice Address - Country:US
Practice Address - Phone:978-514-9086
Practice Address - Fax:774-374-8058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-12
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health