# INNOVATIVE SENIOR CARE HOME HEALTH OF BOSTON LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nurse On Call
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609173582
- **Authorized official:** NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (337) 233-1307

## Contact information

- **Practice address:** 512 MAIN ST STE 6, SHREWSBURY, MA 01545-6405
- **Practice address phone:** (508) 845-1232
- **Practice address fax:** (508) 845-1263
- **Mailing address:** PO BOX 51266, LAFAYETTE, LA 70505-1266
- **Mailing address phone:** (337) 233-1307
- **Mailing address fax:** (337) 443-4154

## Taxonomy

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

## Other

- **Enumeration date:** 02/11/2011
- **Last updated:** 04/27/2022