Provider Demographics
NPI:1316807324
Name:ELDER CARE HOMECARE MA LLC
Entity type:Organization
Organization Name:ELDER CARE HOMECARE MA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR DIRECTOR STRATEGY & PARTNERSHIPS
Authorized Official - Prefix:
Authorized Official - First Name:IAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DORFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-588-0021
Mailing Address - Street 1:111 BROOK ST STE 205
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5150
Mailing Address - Country:US
Mailing Address - Phone:914-268-6221
Mailing Address - Fax:914-355-3252
Practice Address - Street 1:15 RICHARDS RD STE 1
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4871
Practice Address - Country:US
Practice Address - Phone:508-927-1213
Practice Address - Fax:
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
Yes253Z00000XAgenciesIn Home Supportive Care