- Enrollment id
- O20110124000349
- Enrollment state
- MA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1720391329
- Multiple npi flag
- N
- Ccn
- 227203
- Associate id
- 5597944595
- Organization name
- ACCENTCARE OF MASSACHUSETTS, INC.
- Doing business as name
- ACCENTCARE HOME HEALTH OF MASSACHUSETTS
- Incorporation date
- 2010-07-16
- Incorporation state
- DE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1 EDGEWATER DR
- Address line 2
- STE 105
- City
- NORWOOD
- State
- MA
- Zip code
- 020624692