Organization Active NPI

Mass General Brigham Home Care, Inc.

  • Land Ambulance
  • Cambridge, MA
National Provider Identifier
1194458752
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MASS GENERAL BRIGHAM HOME CARE, INC.
Practice address
1575 Cambridge St
Cambridge, MA 02138-4308
Phone
(617) 758-5470
Fax
(617) 758-5478
NPI assigned
Jul 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
William L Doyle
Title
Finance and Billing Operations MGR
Phone
(617) 758-5465

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1575 Cambridge St
Cambridge, MA 02138-4308

Mailing address

1575 Cambridge St
Cambridge, MA 02138-4308
Phone (617) 758-5470

Other names 1

  • Mass General Brigham Ambulance Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230120001906 MA Part B Supplier - Ambulance Service Supplier 6002838737 Practice locations: Watertown, MA; Somerville, MA; Salem, MA; Cambridge, MA; Boston, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
22D2315095Mass General Brigham Ambulance Services1575 Cambridge St, Cambridge, MA 02138Certificate of waiverDec 4, 2026

National Provider Directory

National Provider Directory
Tax ID family
Mass General Brigham Home Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

152 Conant St
Ste 12
Beverly, MA 01915
Phone (844) 744-4200

65 Sprague St
#R
Boston, MA 02136
Phone (617) 758-5470

15 Braintree Hill Park
Ste 201
Braintree, MA 02184
Phone (781) 681-1000

5 Wally Krueger Way
Bridgewater, MA 02324
Phone (508) 697-5984

8 Wally Krueger Way
Bridgewater, MA 02324
Phone (508) 830-0580

1575 Cambridge St
Bldg 3RD
Cambridge, MA 02138
Phone (617) 758-5470

80 Everett Ave
Ste 325
Chelsea, MA 02150
Phone (617) 887-3568

36 Cordage Park Cir
Ste 329
Plymouth, MA 02360
Phone (508) 830-0580

399 Revolution Dr
Fl 12
Somerville, MA 02145
Phone (617) 758-5470

60 Coolidge Ave
Watertown, MA 02472
Phone (617) 758-5470

Practitioners & affiliated clinicians

Practitioners 1

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": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1194458752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 CAMBRIDGE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384308",
            "telephone_number": "617-758-5470",
            "fax_number": "617-758-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 CAMBRIDGE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384308",
            "telephone_number": "617-758-5470",
            "fax_number": "617-758-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASS GENERAL BRIGHAM HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FINANCE AND BILLING OPERATIONS MGR",
        "authorized_official_telephone_number": "617-758-5465"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mass General Brigham Ambulance Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.