BAYSTATE HOMECARE LLC (NPI# 1043697857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043697857 |
| Entity Type | Organization |
| Organization Name | BAYSTATE HOMECARE LLC |
| Practice Address |
695 Truman Hwy Suite B101 Hyde Park MA 02136-3552 |
| Practice Telephone | 6176124108 |
| Mailing Telephone | 6176124108 |
| Mailing Fax Number | 8446445239 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-05-07 |
| Authorized Official Name | JAMES NJOROGE (CEO) |
| Authorized Official Telephone | 6176124108 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | BAYSTATE HOMECARE LLC | 695 Truman Parkway, Suite B101, Hyde Park, MA 02136 |
| Street Address |
695 TRUMAN HWY SUITE B101 |
| City | HYDE PARK |
| State | MA |
| Zip Code | 02136-3552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891713285 | John P. Harkness | Psychologist | 695 Truman Hwy, Hyde Park, MA 02136-3552 | 2006-07-17 |
| 1518527027 | Milena Braga | Assistant Behavior Analyst | 695 Truman Hwy, Hyde Park, MA 02136-3552 | 2019-06-17 |
| 1104483874 | Charlene L Ross | Counselor | 695 Truman Hwy, Hyde Park, MA 02136-3552 | 2019-05-28 |
| 1164981437 | Wilnie Louis | Counselor | 695 Truman Hwy, Hyde Park, MA 02136-3552 | 2019-03-17 |
| 1184191686 | Shaleece Selden | Counselor | 695 Truman Hwy, Hyde Park, MA 02136-3552 | 2018-11-01 |
| 1477032704 | Charmetria Montgomery-boone | Counselor | 695 Truman Hwy, Hyde Park, MA 02136-3552 | 2018-08-08 |
| 1285129817 | Sarina Blevins | Counselor | 695 Truman Hwy, Hyde Park, MA 02136-3552 | 2018-06-26 |
| 1912412172 | The Child and Family Wellness Center | Community/Behavioral Health | 695 Truman Hwy, Hyde Park, MA 02136-3552 | 2017-12-11 |
| 1881027142 | Dawn Marie Nathanson | Nurse Practitioner | 695 Truman Hwy, Suite 203, Hyde Park, MA 02136-3552 | 2013-08-09 |
| 1063539971 | Joy Egbertson | Physician Assistant | 695 Truman Hwy, Suite #203, Hyde Park, MA 02136-3552 | 2007-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952892564 | Dionne Latrice | Counselor | 695 Truman Pwky, Boston, MA 02136 | 2018-05-21 |
| 1134622426 | Light House Behavioral Health and Wellness Center Inc. | Community/Behavioral Health | 1 Westinghouse Plaza, A-216, Boston, MA 02136 | 2018-03-13 |
| 1396168795 | Living Well | Home Health | 53 Oak St, Hyde Park, MA 02136 | 2014-01-22 |
| 1891051074 | Marie Ronique Yilain | Licensed Practical Nurse | 59 Cromwell Rd, Hyde Park, MA 02136 | 2012-04-02 |
| 1033410543 | Stephanie Sabrina Seigle | Counselor | 5 Linden Ave, Hyde Park, MA 02136 | 2010-11-15 |
| 1699075747 | Jeffrey Meisner | Physical Therapist | 188 Providence Street, Boston Pain Clinic, Hyde Park, MA 02136 | 2010-10-22 |
| 1356593743 | Supplemantal Health Care Services | Residential Treatment Facility, Physical Disabilities | 731 Truman Hwy, Hyde Park, MA 02136 | 2008-10-16 |
| 1407023047 | Amy Elizabeth Delaney | Nurse Practitioner | 695 Truman Parkway, Suite 203, Hyde Park Pediatrics, Hyde Park, MA 02136 | 2008-05-13 |
| 1629254263 | Alla Urman | Nurse Practitioner | 1274 Hyde Park Ave, Hyde Park, MA 02136 | 2008-01-14 |
| 1912106980 | Marina Williams | Counselor | 1158 Hyde Park Ave, Hyde Park, MA 02136 | 2007-07-11 |
| Find all providers in zip 02136 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639877 | New Hope Health Care LLC | Home Health | 51 Blake St, Hyde Park, MA 02136-6061 | 2020-08-14 |
| 1144796111 | Nicola Nelson | Home Health | 47 Warren Ave, Hyde Park, MA 02136-3520 | 2018-10-17 |
| 1376037184 | Autumn Care LLC | Home Health | 290 E 4000 N, Hyde Park, UT 84318-4126 | 2018-06-15 |
| 1053803809 | C&s Homecare Services LLC | Home Health | 891 Hyde Park Ave Ste 201, Hyde Park, MA 02136-3267 | 2018-06-06 |
| 1790203404 | Tender Home Health Care Services Inc | Home Health | 6 Oak Street, Hyde Park, MA 02136-0213 | 2017-09-01 |
| 1376900142 | Just Homehealth Care Services | Home Health | 15 Pierce St, Hyde Park, MA 02136-2939 | 2016-01-25 |
| 1760867188 | Lifewatch Home Care Inc | Home Health | 1210 Hyde Park Ave Ste 2, Hyde Park, MA 02136-2800 | 2015-07-27 |
| 1396168795 | Living Well | Home Health | 53 Oak St, Hyde Park, MA 02136 | 2014-01-22 |
| 1225469224 | Gisslene Home Health Aide Agency LLC | Home Health | 54 Warren Ave, Hyde Park, MA 02136-3533 | 2013-12-02 |
| 1447430269 | Ify Olie | Home Health | 1378 River St, Hyde Park, MA 02136-2121 | 2007-11-08 |
| Find all providers in HYDE PARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.