Provider Demographics
NPI:1417758186
Name:ST JOSEPH'S HOME CARE LLC
Entity type:Organization
Organization Name:ST JOSEPH'S HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SECRETARY, ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:ANPI
Authorized Official - Middle Name:
Authorized Official - Last Name:POUDYAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-261-0629
Mailing Address - Street 1:1215 UNION ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-2034
Mailing Address - Country:US
Mailing Address - Phone:603-261-0629
Mailing Address - Fax:
Practice Address - Street 1:510 CHESTNUT ST FL 2
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1412
Practice Address - Country:US
Practice Address - Phone:603-261-0629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care