Promedicare Health Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROMEDICARE HEALTH SERVICES, INC

Practice address

340 Main St Ste 977
Worcester, MA 01608-1600

Phone

(508) 488-7849

Fax

(508) 757-7001

NPI assigned

Apr 9, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Isdhory Lyaamuya

Title

President

Phone

(508) 488-7849

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1194288084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MAIN ST STE 977",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081600",
            "telephone_number": "508-488-7849",
            "fax_number": "508-757-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MAIN ST STE 977",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081600",
            "telephone_number": "508-488-7849",
            "fax_number": "508-757-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICARE HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "LYAAMUYA",
        "authorized_official_first_name": "ISDHORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-488-7849",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Worcester, MA
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• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.