Provider Demographics
NPI:1144509530
Name:AYAH CAREGIVERS FOR HOMECARE, LLC
Entity type:Organization
Organization Name:AYAH CAREGIVERS FOR HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:V
Authorized Official - Last Name:NAUGHTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-875-1486
Mailing Address - Street 1:141 FORT HILL ST
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-2625
Mailing Address - Country:US
Mailing Address - Phone:781-875-1486
Mailing Address - Fax:781-740-2852
Practice Address - Street 1:141 FORT HILL ST
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-2625
Practice Address - Country:US
Practice Address - Phone:781-875-1486
Practice Address - Fax:781-740-2852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8134253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care