Provider Demographics
NPI:1174069496
Name:CARETENDERS VS OF BOSTON LLC
Entity type:Organization
Organization Name:CARETENDERS VS OF BOSTON LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:GACHASSIN
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:337-233-1307
Mailing Address - Street 1:PO BOX 51266
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70505-1266
Mailing Address - Country:US
Mailing Address - Phone:337-233-1307
Mailing Address - Fax:
Practice Address - Street 1:285 CALEF HWY STE 106&107
Practice Address - Street 2:
Practice Address - City:EPPING
Practice Address - State:NH
Practice Address - Zip Code:03042-2367
Practice Address - Country:US
Practice Address - Phone:603-952-3500
Practice Address - Fax:603-952-3501
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARETENDERS VS OF BOSTON LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-01-10
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health