Organization Active NPI

Commonwealth Health Services LLC

  • Home Health Agency
  • Peabody, MA
National Provider Identifier
1144693060
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
001195249 Issued in MA
Legal business name
COMMONWEALTH HEALTH SERVICES LLC
Practice address
300 Andover St Ste 246
Peabody, MA 01960-1526
Phone
(978) 866-5762
NPI assigned
Nov 2, 2015
Last updated
Nov 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Authorized official

Name
Katunge Mativo
Title
Ceo/Manager
Phone
(978) 866-5762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 001195249 MA Primary

Addresses

Primary practice location

300 Andover St Ste 246
Peabody, MA 01960-1526

Mailing address

300 Andover St Ste 246
Peabody, MA 01960-1526
Phone (978) 866-5762

National Provider Directory

National Provider Directory

Locations

300 Andover St
Ste 246
Peabody, MA 01960
Phone (978) 866-5762

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1144693060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ANDOVER ST STE 246",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601526",
            "telephone_number": "978-866-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ANDOVER ST STE 246",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601526",
            "telephone_number": "978-866-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "MATIVO",
        "authorized_official_first_name": "KATUNGE",
        "authorized_official_title_or_position": "CEO/MANAGER",
        "authorized_official_telephone_number": "978-866-5762"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "001195249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.