Organization Active NPI

Humana at Home, Inc.

  • In Home Supportive Care Agency
  • Needham, MA
National Provider Identifier
1194034058
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
7062 Issued in MA
Legal business name
HUMANA AT HOME, INC.
Practice address
75 Second Avenue
Needham, MA 02494
Phone
(781) 444-1199
Fax
(617) 332-5023
NPI assigned
Sep 27, 2010
Organization subpart
Yes
Parent organization
HUMANA INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2020

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

Authorized official

Name
Dorothy Burns
Title
Director
Phone
(321) 258-7709

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7062 MA
In Home Supportive Care Agency 253Z00000X 7062 MA Primary

Addresses

Primary practice location

75 Second Avenue
Needham, MA 02494

Mailing address

845 3Rd Ave FL 7
New York, NY 10022-6629
Phone (502) 301-2178

National Provider Directory

National Provider Directory

Locations

75 2nd Ave
Needham Heights, MA 02494
Phone (781) 444-1199

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602979200000",
    "number": "1194034058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 3RD AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226629",
            "telephone_number": "502-301-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SECOND AVENUE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "02494",
            "telephone_number": "781-444-1199",
            "fax_number": "617-332-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANA AT HOME, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUMANA INC.",
        "enumeration_date": "2010-09-27",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "321-258-7709"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "7062",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MA",
            "license": "7062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; 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.