Organization Active NPI

Braden Home Health Care Services LLC

  • Home Health Agency
  • Methuen, MA
National Provider Identifier
1194442848
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BRADEN HOME HEALTH CARE SERVICES LLC
Practice address
225 Broadway Ste 305
Methuen, MA 01844-3261
Phone
(978) 258-1132
Fax
(978) 655-5112
NPI assigned
Oct 24, 2022
Last updated
Nov 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Brian Kibuika
Title
Owner
Phone
(978) 907-0236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

225 Broadway Ste 305
Methuen, MA 01844-3261

Mailing address

225 Broadway Ste 305
Methuen, MA 01844-3261
Phone (978) 258-1132

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230123000213 MA Part A Provider - Home Health Agency 4082085451 Practice locations: Methuen, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194442848. Details of each certification follow.

Home health agency certification: CCN 227763

Legal name
BRADEN HOME HEALTH CARE SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 3, 2023
Last certification
Aug 3, 2023
Organization structure
LLCProprietary
Enrollment address
225 Broadway
Ste 305
Methuen, MA 01844-3261

Care Compare: Home health agency

Medicare Care Compare
Listed as
Braden Home Health Care Services LLCCCN 227763 · All quality measures
Overall star rating
1.5 of 5
Ownership
-
Certified
Aug 3, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2276442Braden Home Health Care Services LLC225 Broadway, Suite 305, Methuen, MA 01844Certificate of waiverFeb 7, 2027

National Provider Directory

National Provider Directory

Locations

439 S Union St
Ste 114
Lawrence, MA 01843
Phone (978) 907-0236

225 Broadway
Ste 305
Methuen, MA 01844
Phone (978) 258-1132

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brian Kibuika Individual 5% Or Greater Direct Ownership Interest Sep 25, 2022 50%
Corporate DirectorPresident Sep 25, 2022 50%
W-2 Managing EmployeePresident Sep 25, 2022 50%
Operational/Managerial ControlPresident Sep 25, 2022 50%
Dennis Mirugi Individual 5% Or Greater Direct Ownership InterestPresident Sep 25, 2022 50%
Corporate DirectorPresident Sep 25, 2022 50%
W-2 Managing EmployeePresident Sep 25, 2022 50%
Operational/Managerial ControlPresident Sep 25, 2022 50%

Practitioners & affiliated clinicians

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1194442848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BROADWAY STE 305",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018443261",
            "telephone_number": "978-258-1132",
            "fax_number": "978-655-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADWAY STE 305",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018443261",
            "telephone_number": "978-258-1132",
            "fax_number": "978-655-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADEN HOME HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "KIBUIKA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-907-0236"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.