PRIME HOME HEALTH (NPI# 1407490089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407490089 |
| Entity Type | Organization |
| Organization Name | PRIME HOME HEALTH |
| Practice Address |
47 Joyce Ln Boxborough MA 01719-1534 |
| Practice Telephone | 7816327802 |
| Mailing Telephone | 7816327802 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2020-06-25 |
| Authorized Official Name | MALICK ISSAH (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 7816327802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
Nursing Service Providers | ||
| Y | 251E00000X | Home Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRIME HOME HEALTH AND COMPANION CARE INC | 296 N Main St, East Longmeadow, MA 01028-1866 |
| Connecticut Business Registrations | PRIME HOME HEALTH AND COMPANION CARE INC | 296 N. Main Street, East Longmeadow, MA 01028 |
| Massachusetts Corporations | PRIME HOME HEALTH AND COMPANION CARE INC | 17 Park Drive South, Longmeadow, MA 01106 |
| Alabama Business Registrations | Prime Home Health of Lee County, LLC | 2 North Jackson Street, Suite 605, Montgomery, AL 36104 |
| Washington State Corporations | PRIME HOME HEALTH, LLC | 25117 Sw Parkway Ave Ste F, Wilsonville, OR 97070-9697 |
| Street Address |
47 JOYCE LN |
| City | BOXBOROUGH |
| State | MA |
| Zip Code | 01719-1534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558787879 | Lonnie Rae Ouellette | Counselor | 62 School House Lane, Boxboro, MA 01719 | 2014-03-11 |
| 1003147331 | Evan M Hughes | Chiropractor | 1740 Massachusetts Ave, Boxborough, MA 01719 | 2010-01-27 |
| 1083736649 | Suzanne Huang Pieri | Physical Therapist | 398 Depot Road, Boxborough, MA 01719 | 2007-04-04 |
| 1790273563 | Ibis Health Services-massachusetts LLC | Internal Medicine | 1740 Massachusetts Ave, Boxborough, MA 01719 | 2018-04-27 |
| 1194263418 | Yi Gao-roberts | Pharmacist | 20 Meadow Ln, Boxborough, MA 01719 | 2017-02-07 |
| 1366588782 | Diane Deborah Jessop | Speech-Language Pathologist | 202 Swanson Road, Unit 520, Boxborough, MA 01719-0334 | 2007-01-30 |
| 1326339797 | Shondra T. Shahin | Registered Nurse | 96 Leonard Rd, Boxborough, MA 01719-1019 | 2011-04-20 |
| 1245608447 | Sarah Dolaty | Social Worker | 103 Schoolhouse Ln, Boxborough, MA 01719-1033 | 2015-09-04 |
| 1083101836 | Grace Gao | Behavior Technician | 120 Avebury Cir, Boxborough, MA 01719-1124 | 2018-04-17 |
| 1932393790 | Carla Maria Correa | Social Worker | 7 Osceola Dr, Boxborough, MA 01719-1210 | 2007-09-04 |
| Find all providers in zip 01719 | ||||
| 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 |
|---|---|---|---|---|
| 1477154987 | Chanda Care Inc | Home Health | 1125 River Rd, Agawam, MA 01001-2840 | 2020-11-03 |
| 1568063865 | Tenderrose Health Care LLC | Home Health | 1076 Washington St, Boston, MA 02124-5520 | 2020-11-03 |
| 1144827791 | Bridge2 Homecare LLC | Home Health | 48 Rencelau St, Springfield, MA 01118-2032 | 2020-10-07 |
| 1710593868 | Able Healthcare | Home Health | 1111 Elm St Ste 17, West Springfield, MA 01089-1540 | 2020-09-23 |
| 1518572544 | Ryben Staffing LLC | Home Health | 26 Preston St, Worcester, MA 01610-1277 | 2020-09-15 |
| 1841806874 | Dernsta Darang | Home Health | 77 Broadway # B, Taunton, MA 02780-3100 | 2020-09-15 |
| 1932714177 | Bluefox Healthcare LLC | Home Health | 311 Lowell St Apt 2302, Andover, MA 01810-4558 | 2020-09-14 |
| 1255944385 | Rosebud Healthcare Staffing Inc. | Home Health | 129 3rd St, Lowell, MA 01850-2509 | 2020-08-28 |
| 1710590005 | Vineyard Healthcare LLC | Home Health | 14 Marcy Rd, Boston, MA 02126-2004 | 2020-08-26 |
| 1295348555 | Victory Nursing Services Inc. | Home Health | 850 High St Ste 3, Holyoke, MA 01040-3723 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | BOXBOROUGH |
| Zip Code | 01719 |
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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.