Organization Active NPI

Home Care Vna LLC

  • Home Health Agency
  • Chicopee, MA
National Provider Identifier
1003246083
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME CARE VNA LLC
Practice address
35 Center St Ste 201
Chicopee, MA 01013-2765
Phone
(978) 349-8426
NPI assigned
Nov 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Shakira Lubega, RN BSNNPI 1639429053
Title
Director of Nursing
Phone
(978) 349-8426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

35 Center St Ste 201
Chicopee, MA 01013-2765

Mailing address

35 Center St Ste 201
Chicopee, MA 01013-2765
Phone (978) 349-8426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140305002219 MA Part A Provider - Home Health Agency 2860622115 Practice locations: Springfield, MA

Home health agency certification: CCN 227614

Legal name
HOME CARE VNA LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 2, 2015
Last certification
Dec 20, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
235 Chestnut St
Ste 321
Springfield, MA 01103-1100

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Care Vna LLCCCN 227614
Ownership
Proprietary
Certified
Jan 2, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

35 Center St
Ste 201
Chicopee, MA 01013
Phone (413) 598-0077

235 Chestnut St
Ste 321
Springfield, MA 01103
Phone (413) 363-0235

235 Chestnut St
#321
Springfield, MA 01103
Phone (413) 363-0235

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Constant O Ogutt Individual Corporate DirectorVice President & Coo Oct 29, 2013 50%
W-2 Managing EmployeeVice President & Coo Oct 29, 2013 50%
Shakira Z Lubega Individual 5% Or Greater Direct Ownership Interest Sep 23, 2019 100%
W-2 Managing EmployeeCeo Sep 23, 2019 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1003246083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CENTER ST STE 201",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010132765",
            "telephone_number": "978-349-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CENTER ST STE 201",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010132765",
            "telephone_number": "978-349-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE VNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "LUBEGA",
        "authorized_official_first_name": "SHAKIRA",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "978-349-8426",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

Verify at the official NPI Registry.