Organization Active NPI

Ick -Assurance Home Health Care. Inc.

  • Home Health Agency
  • Fitchburg, MA
National Provider Identifier
1033429790
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
RN2266737 Issued in MA
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Oct 29, 2010 in MA
Enrollment address
960 South St
FL 2
Fitchburg, MA 01420-7037
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ick-Assurance Home Health Care IncCCN 227561 · All quality measures
Ownership
Proprietary
Certified
Jan 9, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Isaac Kiruki Individual 5% Or Greater Direct Ownership InterestCeo/Board Member Jan 31, 2012 50%
Corporate DirectorCeo/Board Member Jan 17, 2012 50%
W-2 Managing EmployeeCeo/Board Member Jan 17, 2012 50%
Catherine Githalbi Individual 5% Or Greater Direct Ownership InterestC.O.O/ Director Jan 9, 2013 50%
Corporate OfficerC.O.O/ Director Jan 9, 2013 50%
Corporate DirectorC.O.O/ Director Jan 9, 2013 50%
W-2 Managing EmployeeC.O.O/ Director 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

Verify at the official NPI Registry.