Provider Demographics
NPI:1720793334
Name:GRAVITY HOMECARE LLC
Entity type:Organization
Organization Name:GRAVITY HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MADISON
Authorized Official - Middle Name:
Authorized Official - Last Name:COVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-275-0396
Mailing Address - Street 1:37A BRYN MAWR AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-1636
Mailing Address - Country:US
Mailing Address - Phone:774-275-0396
Mailing Address - Fax:774-389-0331
Practice Address - Street 1:37A BRYN MAWR AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-1636
Practice Address - Country:US
Practice Address - Phone:774-275-0396
Practice Address - Fax:774-389-0331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health