Organization Active NPI

Equalizer Home Health Services Inc

  • Home Health Agency
  • Fitchburg, MA
National Provider Identifier
1215339759
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EQUALIZER HOME HEALTH SERVICES INC
Practice address
76 Summer St
Suite 325
Fitchburg, MA 01420-5783
Phone
(617) 388-8992
NPI assigned
Sep 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Authorized official

Name
Mr. Eyongarah Kima-Tabong
Title
Ceo
Phone
(617) 388-8992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

76 Summer St
Suite 325
Fitchburg, MA 01420-5783

Mailing address

76 Summer St
Suite 325
Fitchburg, MA 01420-5783
Phone (617) 388-8992

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150324000691 MA Part A Provider - Home Health Agency 6507181674 Practice locations: Fitchburg, MA

Home health agency certification: CCN 227652

Legal name
EQUALIZER HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 24, 2016
Last certification
Apr 24, 2016
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 7, 2014 in MA
Enrollment address
76 Summer St 325
Fitchburg, MA 01420-5766
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Equalizer Home Health Services IncCCN 227652
Ownership
Proprietary
Certified
Apr 24, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, 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
22D2090044Equalizer Home Health Services Inc76 Summer St, Fitchburg, MA 01420Certificate of waiverJan 13, 2027

National Provider Directory

National Provider Directory

Locations

76 Summer St
Ste 325
Fitchburg, MA 01420
Phone (617) 388-8992

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
Eyongarah Kima-Tabong Individual 5% Or Greater Direct Ownership Interest Jul 7, 2014 50%
Corporate DirectorCeo/ Director Jul 7, 2014 50%
W-2 Managing EmployeeCeo/ Director Jul 7, 2014 50%
Joan B. Kima-Tabong Individual 5% Or Greater Direct Ownership InterestDirector Jul 7, 2014 50%
Corporate DirectorDirector Jul 7, 2014 50%

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1215339759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 SUMMER ST",
            "address_2": "SUITE 325",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014205783",
            "telephone_number": "617-388-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 SUMMER ST",
            "address_2": "SUITE 325",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014205783",
            "telephone_number": "617-388-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUALIZER HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "KIMA-TABONG",
        "authorized_official_first_name": "EYONGARAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-388-8992",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

Verify at the official NPI Registry.