Organization Active NPI

Secure Home Health Care Incorporated

  • Home Health Agency
  • Hyde Park, MA
National Provider Identifier
1104185461
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SECURE HOME HEALTH CARE INCORPORATED
Practice address
891 Hyde Park Avenue
Suite 3
Hyde Park, MA 02136-1040
Phone
(617) 524-5005
Fax
(617) 524-5110
NPI assigned
May 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Siddharth Parmar
Title
President
Phone
(617) 524-5005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

891 Hyde Park Avenue
Suite 3
Hyde Park, MA 02136-1040

Mailing address

891 Hyde Park Ave
Suite 3
Hyde Park, MA 02136-1040
Phone (617) 524-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131001000182 MA Part A Provider - Home Health Agency 5294969481 Practice locations: Hyde Park, MA

Home health agency certification: CCN 227572

Legal name
SECURE HOME HEALTH CARE INCORPORATED
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 18, 2013
Last certification
Jun 18, 2013
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 25, 2012 in MA
Enrollment address
891 Hyde Park Ave
Ste 3
Hyde Park, MA 02136-3267

Care Compare: Home health agency

Medicare Care Compare
Listed as
Secure Home Health Care IncCCN 227572
Ownership
Proprietary
Certified
Jun 18, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2050506Secure Home Health Care891 Hyde Park Ave, Hyde Park, MA 02136Certificate of waiverNov 29, 2026

National Provider Directory

National Provider Directory

Locations

891 Hyde Park Ave
Ste 3
Hyde Park, MA 02136
Phone (617) 524-5005

Ownership & related parties

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.

NameRoleSinceShare
Ankur Rustgi Individual 5% Or Greater Direct Ownership InterestCfo and Treasurer Oct 20, 2020 33.33%
Corporate OfficerDirector, Board Member Jul 27, 2018
W-2 Managing EmployeeDirector, Board Member Jul 27, 2018
Jasbir S Saini Individual 5% Or Greater Direct Ownership Interest Oct 20, 2020 33.33%
Corporate OfficerSecretary, Board Member Jul 27, 2018
W-2 Managing EmployeeSecretary, Board Member Jul 27, 2018
Siddharth Parmar Individual 5% Or Greater Direct Ownership InterestCeo and President Oct 20, 2020 33.33%
Corporate OfficerPresident, Board Member Jul 27, 2018
W-2 Managing EmployeePresident, Board Member Jul 27, 2018

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1104185461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 HYDE PARK AVE",
            "address_2": "SUITE 3",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021361040",
            "telephone_number": "617-524-5005",
            "fax_number": "617-524-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 HYDE PARK AVENUE",
            "address_2": "SUITE 3",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021361040",
            "telephone_number": "617-524-5005",
            "fax_number": "617-524-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURE HOME HEALTH CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "PARMAR",
        "authorized_official_first_name": "SIDDHARTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-524-5005"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, MA

Sources for this page

Verify at the official NPI Registry.