Provider Demographics
NPI:1407410236
Name:HOME SAFE HOME LLC
Entity type:Organization
Organization Name:HOME SAFE HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:GIARRATANO
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:203-702-3795
Mailing Address - Street 1:50 STATE ST APT 244
Mailing Address - Street 2:
Mailing Address - City:LUDLOW
Mailing Address - State:MA
Mailing Address - Zip Code:01056-3824
Mailing Address - Country:US
Mailing Address - Phone:203-702-3795
Mailing Address - Fax:
Practice Address - Street 1:50 STATE ST APT 244
Practice Address - Street 2:
Practice Address - City:LUDLOW
Practice Address - State:MA
Practice Address - Zip Code:01056-3824
Practice Address - Country:US
Practice Address - Phone:203-702-3795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-26
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation