Provider Demographics
NPI:1447515358
Name:HOMESTART INC.
Entity type:Organization
Organization Name:HOMESTART INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD-BOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-542-0338
Mailing Address - Street 1:678 MASS AVE STE 502
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-3363
Mailing Address - Country:US
Mailing Address - Phone:617-234-5340
Mailing Address - Fax:617-234-5344
Practice Address - Street 1:678 MASS AVE STE 502
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-3363
Practice Address - Country:US
Practice Address - Phone:617-234-5340
Practice Address - Fax:617-234-5344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-06
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management