Provider Demographics
NPI:1003776717
Name:BERACHAH HOME CARE LLC
Entity type:Organization
Organization Name:BERACHAH HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATACHA
Authorized Official - Middle Name:
Authorized Official - Last Name:NATACHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-888-8547
Mailing Address - Street 1:51 STICKNEY RD
Mailing Address - Street 2:
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-1674
Mailing Address - Country:US
Mailing Address - Phone:617-888-8547
Mailing Address - Fax:617-888-8547
Practice Address - Street 1:51 STICKNEY RD
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-1674
Practice Address - Country:US
Practice Address - Phone:617-888-8547
Practice Address - Fax:617-888-8547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-14
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care