Provider Demographics
NPI:1932078359
Name:AHAVAT OLAM SERVICES
Entity type:Organization
Organization Name:AHAVAT OLAM SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LUCIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:NOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-504-0117
Mailing Address - Street 1:189 BOYLSTON ST APT 2
Mailing Address - Street 2:
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-5047
Mailing Address - Country:US
Mailing Address - Phone:617-504-0117
Mailing Address - Fax:
Practice Address - Street 1:189 BOYLSTON ST APT 2
Practice Address - Street 2:
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-5047
Practice Address - Country:US
Practice Address - Phone:617-504-0117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home