- Enrollment id
- O20231205000271
- Enrollment state
- MA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1497535538
- Multiple npi flag
- N
- Ccn
- 227790
- Associate id
- 6002264744
- Organization name
- GIFTED HEART HOME CARE LLC
- Incorporation date
- 2023-09-26
- Incorporation state
- MA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 55 MIDDLESEX ST
- Address line 2
- UNIT 5
- City
- NORTH CHELMSFORD
- State
- MA
- Zip code
- 018631569