Individual provider Active NPI

Joy Edobor-Ovabor

  • Home Health Agency
  • Wilmington, MA
National Provider Identifier
1003291352
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
124151907 Issued in MA
Practice address
6133 Avalon Dr
Wilmington, MA 01887-1165
Phone
(617) 459-1144
Fax
(978) 642-7424
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 124151907 MA Primary

Addresses

Primary practice location

6133 Avalon Dr
Wilmington, MA 01887-1165

Mailing address

6133 Avalon Dr
Wilmington, MA 01887-1165
Phone (617) 459-1144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
124151907MAMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Joyful Healthcare LLC Home Health Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1003291352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6133 AVALON DR",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018871165",
            "telephone_number": "617-459-1144",
            "fax_number": "978-642-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6133 AVALON DR",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018871165",
            "telephone_number": "617-459-1144",
            "fax_number": "978-642-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDOBOR-OVABOR",
        "first_name": "JOY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "124151907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.