Active NPI
Ick -Assurance Home Health Care. Inc.
- Home Health Agency
- Fitchburg, MA
National Provider Identifier
1033429790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- RN2266737
- Legal business name
- ICK -ASSURANCE HOME HEALTH CARE. INC.
- Practice address
- 960 South St FL 2
Fitchburg, MA 01420-7037 - Phone
- (978) 342-0081
- Fax
- (800) 560-3471
- NPI assigned
- Oct 15, 2010
- Last updated
- Mar 1, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Isaac Kiruki, RN
- Title
- Founder
- Phone
- (617) 378-1795
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | RN2266737 | MA | Primary |
| Nursing Care Agency | 251J00000X | RN2266737 | MA |
Addresses
Primary practice location
960 South St FL 2
Fitchburg, MA 01420-7037
Mailing address
960 South St FL 2
Fitchburg, MA 01420-7037
Phone (978) 342-0081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120328000517 | MA | Part A Provider - Home Health Agency | 7810157856 | Practice locations: Fitchburg, MA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1033429790. Details of each certification follow.
Home health agency certification: CCN 227561
- Legal name
- ICK -ASSURANCE HOME HEALTH CARE INC
- Doing business as
- ASSURANCE HOME CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 9, 2013
- Last certification
- Jan 31, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Oct 29, 2010 in MA
- Enrollment address
- 960 South St
FL 2
Fitchburg, MA 01420-7037
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Ick-Assurance Home Health Care Inc
- Ownership
- Proprietary
- Certified
- Jan 9, 2013
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy
National Provider Directory
National Provider DirectoryLocations
16 Mill St
Fitchburg, MA 01420
Phone (978) 342-0081
960 South St
Fl 2
Fitchburg, MA 01420
Phone (978) 342-0081
5 Park St
Leominster, MA 01453
Phone (978) 534-0081
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Isaac Kiruki | 5% Or Greater Direct Ownership Interest | Jan 31, 2012 | 50% |
| Corporate Director | Jan 17, 2012 | 50% | |
| W-2 Managing Employee | Jan 17, 2012 | 50% | |
| Catherine Githalbi | 5% Or Greater Direct Ownership Interest | Jan 9, 2013 | 50% |
| Corporate Officer | Jan 9, 2013 | 50% | |
| Corporate Director | Jan 9, 2013 | 50% | |
| W-2 Managing Employee | Jan 9, 2013 | 50% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519862400000",
"number": "1033429790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 SOUTH ST FL 2",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014207037",
"telephone_number": "978-342-0081",
"fax_number": "800-560-3471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 SOUTH ST FL 2",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014207037",
"telephone_number": "978-342-0081",
"fax_number": "800-560-3471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ICK -ASSURANCE HOME HEALTH CARE. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-15",
"last_updated": "2018-03-01",
"status": "A",
"authorized_official_last_name": "KIRUKI",
"authorized_official_first_name": "ISAAC",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "617-378-1795",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MA",
"license": "RN2266737",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "MA",
"license": "RN2266737",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fitchburg, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.