Provider Demographics
NPI:1285903583
Name:SIRIUS HEALTH PARTNERS, LLC
Entity type:Organization
Organization Name:SIRIUS HEALTH PARTNERS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-961-0186
Mailing Address - Street 1:143 MERRIMAC ST
Mailing Address - Street 2:SUITE 9
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-2429
Mailing Address - Country:US
Mailing Address - Phone:978-961-0186
Mailing Address - Fax:
Practice Address - Street 1:143 MERRIMAC ST
Practice Address - Street 2:SUITE 9
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-2429
Practice Address - Country:US
Practice Address - Phone:978-961-0186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-15
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8181251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health