Provider Demographics
NPI:1528449733
Name:GREAT HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:GREAT HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:KARUGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-510-8462
Mailing Address - Street 1:4 MASON ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01841-5109
Mailing Address - Country:US
Mailing Address - Phone:617-510-8462
Mailing Address - Fax:
Practice Address - Street 1:4 MASON ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01841-5109
Practice Address - Country:US
Practice Address - Phone:617-510-8462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-12
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health