Active NPI
Good Home Health Care
- Home Health Agency
- Abington, MA
National Provider Identifier
1083236533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GOOD HOME HEALTH CARE
- Practice address
- 425 Linwood St
Abington, MA 02351-1532 - Phone
- (774) 360-2850
- NPI assigned
- May 7, 2020
- Last updated
- Jul 23, 2020
- 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
- Benjamin Michel Pierresaint, RN
- Title
- Manager
- Phone
- (774) 360-2850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
425 Linwood St
Abington, MA 02351-1532
Mailing address
425 Linwood St
Abington, MA 02351-1532
Phone (774) 360-2850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GOODHOME2020 | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Abington | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210315001689 | MA | Part B Supplier - Mass Immunization (Roster Biller Only) | 0648686774 | Practice locations: Abington, MA |
National Provider Directory
National Provider DirectoryLocations
538 Bedford St
Ste 3
Abington, MA 02351
Phone (774) 360-2850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595462400000",
"number": "1083236533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 LINWOOD ST",
"city": "ABINGTON",
"state": "MA",
"postal_code": "023511532",
"telephone_number": "774-360-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 LINWOOD ST",
"city": "ABINGTON",
"state": "MA",
"postal_code": "023511532",
"telephone_number": "774-360-2850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD HOME HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-07",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A",
"authorized_official_last_name": "PIERRESAINT",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "MICHEL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "774-360-2850",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GOODHOME2020",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Abington",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "425 Linwood St",
"city": "Abington",
"state": "MA",
"country_code": "US",
"postal_code": "023511532",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Abington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.