Provider Demographics
NPI:1366143661
Name:MAESTRO-CONNECTIONS HEALTH SYSTEMS, LLC
Entity type:Organization
Organization Name:MAESTRO-CONNECTIONS HEALTH SYSTEMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:MUIGAI
Authorized Official - Last Name:KIONGERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-973-3749
Mailing Address - Street 1:14 SHAWMUT AVE
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01851-1646
Mailing Address - Country:US
Mailing Address - Phone:978-973-3749
Mailing Address - Fax:
Practice Address - Street 1:439 S UNION ST UNIT 209
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-2800
Practice Address - Country:US
Practice Address - Phone:978-794-1158
Practice Address - Fax:978-794-1507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253J00000XAgenciesFoster Care Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA95541OtherFALLON HEALTH PLAN