FIDEM HEALTHCARE LLC (NPI# 1124506472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124506472 |
| Entity Type | Organization |
| Organization Name | FIDEM HEALTHCARE LLC |
| Other Organization Name | FIDEM HOMECARE |
| Practice Address |
27 Hampshire St Lowell MA 01850-2021 |
| Practice Telephone | 9787265851 |
| Mailing Telephone | 9787265851 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |
| Authorized Official Name | SUSAN WAHOME (OWNER) |
| Authorized Official Telephone | 9787265851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Fidem Homecare | Doing Business As Name - Organization |
| Street Address |
27 HAMPSHIRE ST |
| City | LOWELL |
| State | MA |
| Zip Code | 01850-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730654344 | Patti-jean Corrente | Social Worker | S. Christa Mcauliffe Shool 570 Beacon Street, Lowell, MA 01850 | 2018-10-10 |
| 1144719030 | Diana Lacen | Behavioral Analyst | 31 Dundee St, # B, Lowell, MA 01850 | 2018-05-07 |
| 1205297553 | James K Njunge | Licensed Practical Nurse | 23 Desrosiers St, Lowell, MA 01850 | 2016-03-15 |
| 1467870915 | Frederick Michael Scibelli Jr. | Behavioral Analyst | 64 Farmland Rd, Lowell, MA 01850 | 2014-04-02 |
| 1942422555 | John Capino,mdpc | Durable Medical Equipment & Medical Supplies | 1230 Bridge St., Lowell, MA 01850 | 2007-05-03 |
| 1871710491 | William Henry Rouine | Pharmacist | 1231 Bridge St, Lowell, MA 01850 | 2007-04-18 |
| 1881692663 | 19 Varnum Street Operating Company, LLC | Skilled Nursing Facility | 19 Varnum Street, Lowell, MA 01850 | 2005-07-14 |
| 1922522234 | Daniel Kamau Mwangi | Registered Nurse | 166 Central St, Lowell, MA 01850 | 2017-07-28 |
| 1750778700 | Michelle G. Mazzarelli | Occupational Therapist | 1230 Bridge St, Suite 2, Lowell, MA 01850 | 2015-04-16 |
| 1225157175 | Bedabrata Sarkar | Surgery | 41 Mall Road, Lahey Hospital and Medical Center, Burlington, MA 01850 | 2007-03-29 |
| Find all providers in zip 01850 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035006 | Felicita Rodriguez | In Home Supportive Care | 38 Pine Hill St, Lowell, MA 01852-4125 | 2020-02-18 |
| 1063986875 | Pinnacle In Home Care, LLC | In Home Supportive Care | 213 W Monroe Ave Ste F, Lowell, AR 72745-9451 | 2019-01-15 |
| 1396216453 | Samaritan Home Care | In Home Supportive Care | 1201 Westford St # U-2a, Lowell, MA 01851-5225 | 2018-12-16 |
| 1861984858 | Taxsavers, Inc. | In Home Supportive Care | 213 W Monroe Ave Ste D, Lowell, AR 72745-9451 | 2018-06-05 |
| 1194228148 | Tendercare & Allied LLC | In Home Supportive Care | 2 Lauren Way, Lowell, MA 01854-1484 | 2018-03-15 |
| 1013430578 | Solidarity Healthcare Services LLC | In Home Supportive Care | 704 Merrimack St Apt 3r, Lowell, MA 01854-5114 | 2017-07-17 |
| 1467842963 | Emmanuel Home Care Services LLC | In Home Supportive Care | 18 Bodwell Ave, Lowell, MA 01854-2403 | 2015-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618519 | Affinity Home Care Inc | In Home Supportive Care | 200 N Main St Ste 3, East Longmeadow, MA 01028-2354 | 2020-10-26 |
| 1124626726 | Lov Home Care LLC | In Home Supportive Care | 498 Elliott St, Beverly, MA 01915-2331 | 2020-10-15 |
| 1780282483 | Angel's Touch Home Care LLC | In Home Supportive Care | 50 Broadlawn Park # 219, Chestnut Hill, MA 02467-3524 | 2020-10-14 |
| 1891301743 | Prime Caregivers, LLC | In Home Supportive Care | 112 Metropolitan Ave, Ashland, MA 01721-2110 | 2020-09-16 |
| 1780297267 | Token Multi Services Corporation | In Home Supportive Care | 391 Lowell St, Wakefield, MA 01880-1962 | 2020-08-25 |
| 1528670247 | Help Home Care | In Home Supportive Care | 606 Andover St, Lawrence, MA 01843-1027 | 2020-08-24 |
| 1912518739 | Soul Fill LLC | In Home Supportive Care | 56 Phoenix St, Springfield, MA 01104-2451 | 2020-08-14 |
| 1689290108 | Superactive Home Care LLC | In Home Supportive Care | 2 Canton St Ste A1, Stoughton, MA 02072-2868 | 2020-06-20 |
| 1912523721 | Hurwitz Home Care LLC | In Home Supportive Care | 1 City Hall Mall Ste C, Medford, MA 02155-4770 | 2020-06-18 |
| 1508487596 | Nickerson Home Care Solutions, Inc. | In Home Supportive Care | 18 Willis Dr, Norton, MA 02766-2339 | 2020-04-30 |
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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.