Highly Visioned LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

HIGHLY VISIONED LLC

Practice address

125 Main St
Stoneham, MA 02180-1600

Phone

(781) 832-0161

Fax

(978) 296-3459

NPI assigned

Jan 18, 2011

Last updated

Sep 20, 2012By 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

Allan Moses

Title

Manager

Phone

(781) 832-0161

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043515398. Details of each certification follow.

• CCN 227579 Home health agency · Active · Details

Home health agency certification: CCN 227579

Legal name

HIGHLY VISIONED LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 26, 2013

Last certification

Aug 26, 2013

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Mar 7, 2011 in DE

Enrollment address

125 Main St
Stoneham, MA 02180-1600
HHA Branch

Listed as

Highly Visioned, LLCCCN 227579 · All quality measures

Ownership

Proprietary

Certified

Aug 26, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

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.

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1043515398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MAIN ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801600",
            "fax_number": "978-296-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MAIN ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801600",
            "telephone_number": "781-832-0161",
            "fax_number": "978-296-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLY VISIONED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "781-832-0161"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Alexander Hansen I
• Margaret Leigh Inners Hart, MD
• Taylor Joan Havican, RN
• Heike Rolle-Daya, MD
• Bonny Marie Hiett, RD LDN
• Amanda Marie Holt, MSOT, OTR/L
• Jeffrey Hom, PHARMD
• Hyucksoo Hong, D.M.D
• Tammy Lynne Hopper Graham, MA LMFT
• Neil S Hornung, D.M.D.

• Nursing Care Agency in Stoneham, MA
• Providers in Stoneham, MA by specialty
• Nursing Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.

Verify at the official NPI Registry.