Provider Demographics
NPI:1487078556
Name:MAESTRO COMMUNITY CARE, LLC
Entity type:Organization
Organization Name:MAESTRO COMMUNITY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KIONGERA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:978-973-3749
Mailing Address - Street 1:439 S UNION ST
Mailing Address - Street 2:BLDG 2, SUITE 107
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-2837
Mailing Address - Country:US
Mailing Address - Phone:978-973-3749
Mailing Address - Fax:
Practice Address - Street 1:439 S UNION ST
Practice Address - Street 2:BLDG 2, SUITE 107
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-2837
Practice Address - Country:US
Practice Address - Phone:978-973-3749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAESTRO-CONNECTIONS HEALTH SYSTEMS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-02-10
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care