Organization Active NPI

Bethel Health System LLC

  • Home Health Agency
  • Boston, MA
National Provider Identifier
1205294774
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BETHEL HEALTH SYSTEM LLC
Practice address
1485 Dorchester Ave Ste 205
Boston, MA 02122-1301
Phone
(617) 888-5875
NPI assigned
Jan 29, 2016
Last updated
May 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Moses Umeokwochi
Title
President, Ceo, Administrator
Phone
(617) 436-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1485 Dorchester Ave Ste 205
Boston, MA 02122-1301

Mailing address

1485 Dorchester Ave Ste 205
Boston, MA 02122-1301
Phone (617) 436-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160602001370 MA Part A Provider - Home Health Agency 6406146554 Practice locations: Boston, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205294774. Details of each certification follow.

Home health agency certification: CCN 227694

Legal name
BETHEL HEALTH SYSTEM LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 15, 2017
Last certification
May 15, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 21, 2016 in MA
Enrollment address
1485 Dorchester Ave
Ste 205
Boston, MA 02122-1301
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bethel Health System LLCCCN 227694 · All quality measures
Ownership
Proprietary
Certified
May 15, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Occupational therapy

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
22D2118178Bethel Health System, LLC1485 Dorchester Ave, Boston, MA 02122Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1485 Dorchester Ave
Ste 205
Dorchester, MA 02122
Phone (617) 888-5875

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
Ebere Umeokwochi Individual Corporate OfficerVice President, Secretary Jan 21, 2016 50%
Corporate DirectorVice President, Secretary Jan 21, 2016 50%
Moses C. Umeokwochi Individual 5% Or Greater Direct Ownership Interest Jan 21, 2016 100%
Corporate OfficerPresident, Treasurer, Owner, Adm Jan 21, 2016 50%
Corporate DirectorPresident, Treasurer, Owner, Adm Jan 21, 2016 50%
W-2 Managing EmployeePresident, Treasurer, Owner, Adm Jan 21, 2016 50%

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1205294774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 DORCHESTER AVE STE 205",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021221301",
            "telephone_number": "617-436-5000",
            "fax_number": "617-436-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 DORCHESTER AVE STE 205",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021221301",
            "telephone_number": "617-888-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL HEALTH SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "UMEOKWOCHI",
        "authorized_official_first_name": "MOSES",
        "authorized_official_title_or_position": "PRESIDENT, CEO, ADMINISTRATOR",
        "authorized_official_telephone_number": "617-436-5000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.