Provider Demographics
NPI:1699147348
Name:HESELTON HOMECARE INC
Entity type:Organization
Organization Name:HESELTON HOMECARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:HESELTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:603-969-7153
Mailing Address - Street 1:1 OLD DOVER RD STE 6
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-3460
Mailing Address - Country:US
Mailing Address - Phone:603-969-7153
Mailing Address - Fax:
Practice Address - Street 1:1 OLD DOVER RD STE 6
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-3460
Practice Address - Country:US
Practice Address - Phone:603-969-7153
Practice Address - Fax:603-452-4445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-21
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH04044251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health