Kepa Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KEPA HOME CARE, LLC

Practice address

101 Pleasant St Ste 209
Worcester, MA 01609-3213

Phone

(774) 420-8144

NPI assigned

Apr 18, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Kenney Kairu, DNP, MBA

Title

Owner

Phone

(774) 420-8144

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Home health agency certification: CCN 227784

Legal name

KEPA HOME CARE, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 13, 2024

Last certification

Aug 7, 2024

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

101 Pleasant St
Ste 209
Worcester, MA 01609-3213

Listed as

Kepa Home Care, LLCCCN 227784 · All quality measures

Ownership

Proprietary

Certified

Aug 13, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

Locations

All disclosed owners & managing parties 1

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

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1225824881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PLEASANT ST STE 209",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016093213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PLEASANT ST STE 209",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016093213",
            "telephone_number": "774-420-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEPA HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "KAIRU",
        "authorized_official_first_name": "KENNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-420-8144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Isabella Kent, PA-C
• Kristy Kenworthy, RDN
• Marietta Kenyan
• Julia B Kenyon
• Lori Ann Keough
• Farzaneh Esther Kermani
• Elizabeth Kern, CNP
• Meredith A Kern, MD
• James Byron Kernan, PMHNP-BC
• Sophonie Marie Kernizan, RN

• Home Health Agency in Worcester, MA
• Providers in Worcester, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.