Active NPI
Jashua M Gonzalez
- Personal Care Attendant
- Concord, MA
National Provider Identifier
1053203489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 91540043
- Practice address
- 300 Baker Ave Ste 300
Concord, MA 01742-2124 - Phone
- (857) 381-5559
- NPI assigned
- Jul 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 91540043 | MA | Primary |
Addresses
Primary practice location
300 Baker Ave Ste 300
Concord, MA 01742-2124
Mailing address
300 Baker Ave Ste 300
Concord, MA 01742-2124
Phone (857) 701-3015
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
| License | State | Type | Specialty |
|---|---|---|---|
| 91540043 | MA | MD | Personal Care Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humble Home Healthcare LLC | Multi-Specialty | Current | Accepting new patients |
Locations
300 Baker Ave
Ste 300
Concord, MA 01742
Phone (864) 336-2731
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": "1752796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1053203489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 BAKER AVE STE 300",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422124",
"telephone_number": "857-701-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BAKER AVE STE 300",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422124",
"telephone_number": "857-381-5559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JASHUA",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-18",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": "MA",
"license": "91540043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.