Clinical 1 Home Medical Corp.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CLINICAL 1 HOME MEDICAL CORP.

Practice address

65 Mathewson Drive
Suite E
Weymouth, MA 02189

Phone

(781) 331-6856

Fax

(781) 331-4783

NPI assigned

Aug 25, 2006

Last updated

Jun 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Christopher George Ferris

Title

VP

Phone

(781) 331-6856

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1003924713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MATHEWSON DRIVE",
            "address_2": "SUITE E",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "02189",
            "telephone_number": "781-331-6856",
            "fax_number": "781-331-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MATHEWSON DRIVE",
            "address_2": "SUITE E",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "02189",
            "telephone_number": "781-331-6856",
            "fax_number": "781-331-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL 1 HOME MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "FERRIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "781-331-6856",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1539124",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "390254",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "688971",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louise Citron, M.A., CCC-A
• Lynda C Clancy, RNP
• Judith Clark, PSYD
• David Clarke, DPT, PT
• Keri Renee Clayton, PTA
• Debra Maureen Clooney
• Cara Cloutier
• Coastal Medical Associates
• Coastal Medical Associates, Inc
• Coastal Medical Associates, Inc

• Durable Medical Equipment & Medical Supplies in Weymouth, MA
• Providers in Weymouth, MA by specialty
• Durable Medical Equipment & Medical Supplies in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.