| American Light Home Care Services Llc | |
|
1500 District Ave Burlington MA 01803-5069 | |
| (508) 444-8851 | |
| (508) 657-8338 |
| Full Name | American Light Home Care Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1500 District Ave, Burlington, Massachusetts |
| Authorized Official Name and Position | Henry Lubega (FOUNDER/CEO) |
| Authorized Official Contact | 7753380442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Light Home Care Services Llc 4 Riverhurst Rd Apt 440 Billerica MA 01821-6603 Ph: (775) 338-0442 | American Light Home Care Services Llc 1500 District Ave Burlington MA 01803-5069 Ph: (508) 444-8851 |
| NPI Number | 1992416739 |
|---|---|
| Provider Enumeration Date | 12/13/2022 |
| Last Update Date | 06/28/2023 |
| Medicare PECOS PAC ID | 8325404346 |
|---|---|
| Medicare Enrollment ID | O20230517002899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992416739 | NPI | - | NPPES |
| 110191140 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Henry Lubega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295491553 PECOS PAC ID: 9234595257 Enrollment ID: I20230531000431 |
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