# CITY HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** city home care, LLC GAFC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750766044
- **Authorized official:** BORIS LIPSKIY (PROGRAM DIRECTOR)
- **Authorized official phone:** (617) 964-2489

## Contact information

- **Practice address:** 425 LAKE AVE N STE 102, WORCESTER, MA 01605-2073
- **Practice address phone:** (617) 964-2489
- **Practice address fax:** (617) 964-2496
- **Mailing address:** 425 LAKE AVE N STE 102, WORCESTER, MA 01605-2073
- **Mailing address phone:** (617) 964-2489
- **Mailing address fax:** (617) 964-2490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | MA | Yes |

## Other

- **Enumeration date:** 07/28/2015
- **Last updated:** 08/29/2024