Provider Demographics
NPI:1427688258
Name:PC HOMECARE LLC
Entity type:Organization
Organization Name:PC HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CAHILL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:978-886-0117
Mailing Address - Street 1:79 OLD VILLAGE LN
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-4530
Mailing Address - Country:US
Mailing Address - Phone:978-886-0117
Mailing Address - Fax:978-208-7088
Practice Address - Street 1:599 CANAL ST STE 6E4
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1267
Practice Address - Country:US
Practice Address - Phone:978-662-5242
Practice Address - Fax:978-208-7088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health