Organization Active NPI

Caring Healthcare Services LLC

  • Nurse Practitioner
  • Randolph, MA
National Provider Identifier
1124599055
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
CARING HEALTHCARE SERVICES LLC
Practice address
32 Bossi Ave
Randolph, MA 02368-2002
Phone
(617) 230-0787
Fax
(781) 986-4627
NPI assigned
Dec 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Authorized official

Name
Enefaa Wilcox, MSNNPI 1841577152
Title
NP/Director
Phone
(617) 230-0787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

32 Bossi Ave
Randolph, MA 02368-2002

Mailing address

32 Bossi Ave
Randolph, MA 02368-2002
Phone (617) 230-0787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190226002311 MA Part B Supplier - Clinic/Group Practice 1850630468 Receives reassigned benefits from 1 practitioner
Practice locations: Randolph, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1124599055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BOSSI AVE",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682002",
            "telephone_number": "617-230-0787",
            "fax_number": "781-986-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 BOSSI AVE",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682002",
            "telephone_number": "617-230-0787",
            "fax_number": "781-986-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "ENEFAA",
        "authorized_official_title_or_position": "NP/DIRECTOR",
        "authorized_official_telephone_number": "617-230-0787",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.

Verify at the official NPI Registry.