# BOSTON HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376884031
- **Authorized official:** MS. MAAZA SHAWANGIZOW (ASSISTANT DIRECTOR OF NURSES)
- **Authorized official phone:** (339) 226-0862

## Contact information

- **Practice address:** 12A ELMWOOD ST, REVERE, MA 02151-4540
- **Practice address phone:** (339) 226-0862
- **Mailing address:** 12A ELMWOOD ST, REVERE, MA 02151-4540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 8309 | MA | Yes |

## Other

- **Enumeration date:** 03/06/2013
- **Last updated:** 03/06/2013