Organization
NIA COMMUNITY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA RICHARDS RN (MANAGER)
(857) 396-7683
Entity
Organization
Contact information
Practice address
258 HEBRON ST, BOSTON, MA 02136-6202
(857) 396-7683
Mailing address
258 HEBRON ST, BOSTON, MA 02136-6202
(857) 396-7683
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
364SH0200X
Home Health Clinical Nurse Specialist
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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