- Enrollment id
- O20080701000058
- Enrollment state
- MA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1396929048
- Multiple npi flag
- N
- Ccn
- 227269
- Associate id
- 3274605613
- Organization name
- CARETENDERS VS OF BOSTON, LLC
- Doing business as name
- CARETENDERS
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 200 RESERVOIR ST
- Address line 2
- STE 309
- City
- NEEDHAM HEIGHTS
- State
- MA
- Zip code
- 024943146