Organization Active NPI

Queen Sheba Home Health Care LLC

  • Home Health Agency
  • Boston, MA
National Provider Identifier
1003276403
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
QUEEN SHEBA HOME HEALTH CARE LLC
Practice address
333 Mass Ave Apt 713
Boston, MA 02115-2218
Phone
(857) 318-5669
NPI assigned
Feb 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Authorized official

Name
Eskinder T Fanta
Title
President/Owner/Ceo
Phone
(857) 318-5669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MA Primary

Addresses

Primary practice location

333 Mass Ave Apt 713
Boston, MA 02115-2218

Mailing address

PO Box 231147
Boston, MA 02123-1147
Phone (857) 318-5669

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1003276403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231147",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021231147",
            "telephone_number": "857-318-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MASS AVE APT 713",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021152218",
            "telephone_number": "857-318-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN SHEBA HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "FANTA",
        "authorized_official_first_name": "ESKINDER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/CEO",
        "authorized_official_telephone_number": "857-318-5669"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.