Provider Demographics
NPI:1841084910
Name:NTERYCARE HOME HEALTHCARE
Entity type:Organization
Organization Name:NTERYCARE HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SISSOKHO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:508-930-9083
Mailing Address - Street 1:20 ROCHE BROTHERS WAY UNIT 6272
Mailing Address - Street 2:
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-1030
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:94 PINE ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02302-3616
Practice Address - Country:US
Practice Address - Phone:508-586-0491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-05
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty