Provider Demographics
NPI:1902173842
Name:USA EXTENDED CARE INC.
Entity Type:Organization
Organization Name:USA EXTENDED CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HILARIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-831-4400
Mailing Address - Street 1:114 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:WEST BOYLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01583-1825
Mailing Address - Country:US
Mailing Address - Phone:508-831-4400
Mailing Address - Fax:508-831-1307
Practice Address - Street 1:114 MAPLE ST
Practice Address - Street 2:
Practice Address - City:WEST BOYLSTON
Practice Address - State:MA
Practice Address - Zip Code:01583-1825
Practice Address - Country:US
Practice Address - Phone:508-831-4400
Practice Address - Fax:508-831-1307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-21
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No251E00000XAgenciesHome Health