Elizabeth Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ELIZABETH HOMECARE LLC

Practice address

107 Harvard St
Malden, MA 02148-7902

Phone

(617) 909-0495

NPI assigned

Mar 23, 2022

Last updated

Mar 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christina Ayiasong

Title

Owner

Phone

(617) 909-0495

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1225787450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HARVARD ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021487902",
            "telephone_number": "617-909-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HARVARD ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021487902",
            "telephone_number": "617-909-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "AYIASONG",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-909-0495"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.