Lucky Medical Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LUCKY MEDICAL HOME CARE LLC

Practice address

1111 Elm St Ste 17
West Springfield, MA 01089-1540

Phone

(413) 557-8457

NPI assigned

Apr 13, 2021

Organization subpart

No

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

Authorized official

Name

Abena AmankwahNPI 1013775220

Title

Vice President- Member

Phone

(413) 557-8457

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Home health agency certification: CCN 227782

Legal name

LUCKY MEDICAL HOME CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 23, 2024

Last certification

Jul 3, 2024

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Apr 7, 2022 in MA

Enrollment address

1111 Elm St
Ste 17
West Springfield, MA 01089-1540

Listed as

Lucky Medical Home Care LLCCCN 227782

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Jul 23, 2024

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 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abena Amankwah, NURSE

  • Registered Nurse
  • Springfield, MA
  • NPI 1013775220
  NPD Authorized official

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Christina Hayfron-Benjamin, MD

  • Internal Medicine Physician
  • Agawam, MA
  • NPI 1447350772

  Home health agency

  Care Compare affiliation
• Ana Mercedes Roca Mattei, M.D.

  • Internal Medicine Physician
  • Holyoke, MA
  • NPI 1144485145

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1063092013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 ELM ST STE 17",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891540",
            "telephone_number": "413-557-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 ELM ST STE 17",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891540",
            "telephone_number": "413-557-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY MEDICAL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "AMANKWAH",
        "authorized_official_first_name": "ABENA",
        "authorized_official_title_or_position": "VICE PRESIDENT- MEMBER",
        "authorized_official_telephone_number": "413-557-8457"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Lorence
• Curt Loud, PA-C
• Rebecca C. Love, RNNP
• Lower Pioneer Valley Educational Collaborative
• Leana Karam Lucas, PA-C
• Chasity Marie Lugo
• Constance Lum, LICSW
• Tomas E Lund, P.T.
• Nancy R.Miller Lunden, LCSW
• Amber M Lydon, BCBA

• Home Health Agency in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.