Essex Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ESSEX HOME HEALTH LLC

Practice address

300 Brickstone SQ Ste 201
Andover, MA 01810-1497

Phone

(978) 809-3146

NPI assigned

Jan 11, 2023

Last updated

Mar 7, 2023By 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

Diogenes LunaNPI 1124635636

Title

Owner

Phone

(978) 809-3146

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235843558. Details of each certification follow.

• CCN 227771 Home health agency · Active · Details

Home health agency certification: CCN 227771

Legal name

ESSEX HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 19, 2023

Last certification

Oct 6, 2023

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jan 10, 2023 in MA

Enrollment address

300 Brickstone SQ
Ste 201
Andover, MA 01810-1497

Listed as

Essex Home Health LLCCCN 227771 · All quality measures

Ownership

Proprietary

Certified

Oct 19, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Endry Martinez, DO

  • Emergency Medicine Physician
  • El Paso, TX
  • NPI 1972910503

  5% Or Greater Direct Ownership Interest, Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diogenes Rafael Luna

  • Registered Nurse
  • Lawrence, MA
  • NPI 1124635636
  NPD Authorized official
• Endry Martinez, DO

  • Emergency Medicine Physician
  • El Paso, TX
  • NPI 1972910503
  NPD

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jean Marie Tabit, DO

  • Family Medicine Physician
  • Lawrence, MA
  • NPI 1740271683

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1235843558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BRICKSTONE SQ STE 201",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BRICKSTONE SQ STE 201",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101497",
            "telephone_number": "978-809-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "DIOGENES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-809-3146"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eone Medical Subsidiary PLLC
• Joseph Erickson, LICSW
• Kimberly N Erskine, P.T.
• Kathryn Diane Erwin, PHARM.D.
• Essex Chiropractic & Physical Therapy, LLC
• Essex Medical Supplies
• Essex Orthopaedics DME
• Essex Orthopaedics Inc.
• Essex Physical Therapy
• Maria Estrada

• Home Health Agency in Andover, MA
• Providers in Andover, 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 Mar 7, 2023; 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.