253Z00000X

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

253Z00000X

Practice address

1100 Salem St
Lynnfield, MA 01940-1580

Phone

(781) 479-4289

NPI assigned

Dec 1, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Ehab Qubein

Title

General Manager

Phone

(781) 479-4289

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1104788074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SALEM ST",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019401580",
            "telephone_number": "781-479-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SALEM ST",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019401580",
            "telephone_number": "781-479-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "253Z00000X",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "QUBEIN",
        "authorized_official_first_name": "EHAB",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "781-479-4289",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lynnfield, MA
• In Home Supportive Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.

Verify at the official NPI Registry.