Provider Demographics
NPI:1972061299
Name:HOME CARE ADVOCATES LLC
Entity type:Organization
Organization Name:HOME CARE ADVOCATES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:KIIZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-316-6554
Mailing Address - Street 1:PO BOX 2044
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01888-0044
Mailing Address - Country:US
Mailing Address - Phone:857-316-6554
Mailing Address - Fax:781-995-0016
Practice Address - Street 1:2 BURLINGTON WOODS DR STE 100
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-4551
Practice Address - Country:US
Practice Address - Phone:857-316-6554
Practice Address - Fax:781-995-0016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care