Active NPI
Ethio Home Health Care LLC
- Home Health Agency
- Cambridge, MA
National Provider Identifier
1114386901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ETHIO HOME HEALTH CARE LLC
- Practice address
- 545 Concord Ave
Ste 6
Cambridge, MA 02138-1125 - Phone
- (617) 955-0629
- NPI assigned
- Feb 22, 2016
- 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
- Samson Haileyesus
- Title
- Owner
- Phone
- (617) 320-2382
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
545 Concord Ave
Ste 6
Cambridge, MA 02138-1125
Mailing address
545 Concord Ave
Ste 6
Cambridge, MA 02138-1125
Phone (617) 955-0629
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2117167 | Ethio Home Health Care LLC | Certificate of waiver | Aug 9, 2026 |
National Provider Directory
National Provider DirectoryLocations
545 Concord Ave
Ste 6
Cambridge, MA 02138
Phone (617) 955-0629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456099200000",
"number": "1114386901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 CONCORD AVE",
"address_2": "STE 6",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381125",
"telephone_number": "617-955-0629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 CONCORD AVE",
"address_2": "STE 6",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381125",
"telephone_number": "617-955-0629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ETHIO HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-22",
"last_updated": "2016-02-22",
"status": "A",
"authorized_official_last_name": "HAILEYESUS",
"authorized_official_first_name": "SAMSON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-320-2382"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.