- Enrollment id
- O20060501000294
- Enrollment state
- MA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1346257474
- Multiple npi flag
- N
- Ccn
- 227495
- Associate id
- 0840200267
- Organization name
- NORTHEAST PROFESSIONAL REGISTRY OF NURSES, INC.
- Doing business as name
- BETH ISRAEL LAHEY HEALTH AT HOME
- Incorporation date
- 2006-12-05
- Incorporation state
- MA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 199 ROSEWOOD DR
- Address line 2
- STE 380
- City
- DANVERS
- State
- MA
- Zip code
- 019234516
- Practice location type
- HHA BRANCH