JETHRO HEALTH SYSTEM LLC (NPI# 1700308244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700308244 |
| Entity Type | Organization |
| Organization Name | JETHRO HEALTH SYSTEM LLC |
| Practice Address |
330 Lynnway Ste 346 Lynn MA 01901-1713 |
| Practice Telephone | 7812156125 |
| Practice Fax Number | 7812156197 |
| Mailing Telephone | 7812156125 |
| Mailing Fax Number | 7812156197 |
| Enumeration Date | 2017-07-15 |
| Last Update Date | 2017-07-15 |
| Authorized Official Name | OGECHUKWU PHILOMENA ANUTA (ADMINISTRATOR) |
| Authorized Official Telephone | 7812156125 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
330 LYNNWAY STE 346 |
| City | LYNN |
| State | MA |
| Zip Code | 01901-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538645874 | Nurta Home Healthcare, LLC | Home Health | 330 Lynnway Ste 346, Lynn, MA 01901-1713 | 2018-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515923 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 173 Oxford Street, Lowel Level, Suite P, Lynn, MA 01901 | 2019-02-21 |
| 1730680125 | Sarah Sawulski | Registered Nurse | 269 Union Stree01901t, Lynn, MA 01901 | 2018-02-22 |
| 1184142895 | Adrienne Wood | Case Manager/Care Coordinator | 100 Willow Street, Lynn, MA 01901 | 2017-09-01 |
| 1831613199 | Marie Linda Yannaco-grant | Social Worker | 62 Market Street, Lynn, MA 01901 | 2017-07-28 |
| 1942723457 | Michael Xinyu Miao | Physical Therapy Assistant | 1 Market Street, 3rd Floor, Lynn, MA 01901 | 2017-07-18 |
| 1730544743 | Pediatric Dental Professionals LLC | Dentist | 391 Lynn Way, Bldg A, Lynn, MA 01901 | 2015-12-17 |
| 1346667748 | Emily G. Joseph | Social Worker | 112 Market Street, 2nd Floor, Lynn, MA 01901 | 2014-03-24 |
| 1548510621 | Serena M Smith | Counselor | 181 Union Street, Suite J, Lynn, MA 01901 | 2012-09-14 |
| 1043575624 | Timothy J Bossie | Optometrist | 20 Central Avenue, Lynn, MA 01901 | 2012-07-10 |
| 1689946923 | Lynn Dental Center | Dentist | 232 Union Street, Lynn, MA 01901 | 2012-02-02 |
| Find all providers in zip 01901 | ||||
| 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 |
|---|---|---|---|---|
| 1174045173 | Abc Visiting Nurses Inc | Home Health | 225 Boston St Ste 206, Lynn, MA 01904-3124 | 2017-07-11 |
| 1831611250 | Bos Healthcare Services Inc. | Home Health | 20 Central Ave Ste 512&513, Lynn, MA 01901-1201 | 2017-07-07 |
| 1396274916 | Progress Healthcare LLC | Home Health | 118 Franklin St Fl 3, Lynn, MA 01902-4138 | 2017-06-07 |
| 1245779503 | Ultimate Home Healthcare Professionals LLC | Home Health | 37 Pacific St, Lynn, MA 01902-1103 | 2017-02-20 |
| 1396288726 | Life At Home Health Care Agency LLC | Home Health | 51 Arlington St, Lynn, MA 01902-4210 | 2016-12-03 |
| 1982064960 | Prosperin 21 St LLC | Home Health | 531 Essex St, Lynn, MA 01902-3946 | 2016-03-03 |
| 1326405861 | Global Care Provider LLC | Home Health | 56 Central Ave, Suite 308, Lynn, MA 01901-1140 | 2016-01-27 |
| 1467833038 | Holistic Healthcare | Home Health | 65 Eutaw Ave, # 3, Lynn, MA 01902-2136 | 2015-06-09 |
| 1235542309 | Apex Care Residential Services LLC | Home Health | 36 Shepard St, Lynn, MA 01902-4526 | 2014-06-06 |
| 1770902686 | Premier Healthcare Agency LLC | Home Health | 145 Munroe St Ste 403, Lynn, MA 01901-1222 | 2014-04-08 |
| Find all providers in LYNN | ||||
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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.