Organization Active NPI

Highrax Homecare LLC

  • Home Health Agency
  • North Chelmsford, MA
National Provider Identifier
1255038717
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HIGHRAX HOMECARE LLC
Practice address
55 Middlesex St # 4
North Chelmsford, MA 01863-1569
Phone
(978) 970-0319
NPI assigned
Feb 14, 2023
Last updated
Feb 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Bernard Kinyua
Title
Ceo
Phone
(978) 970-0319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

55 Middlesex St # 4
North Chelmsford, MA 01863-1569

Mailing address

51 Middlesex St Unit 130
North Chelmsford, MA 01863-1566
Phone (978) 970-0319

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230314000961 MA Part A Provider - Home Health Agency 7810361995 Practice locations: North Chelmsford, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255038717. Details of each certification follow.

Home health agency certification: CCN 227786

Legal name
HIGHRAX HOMECARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 21, 2024
Last certification
Sep 19, 2024
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 9, 2023 in MA
Enrollment address
55 Middlesex St
Ste 4
North Chelmsford, MA 01863-1569

Care Compare: Home health agency

Medicare Care Compare
Listed as
Highrax Homecare LLCCCN 227786 · All quality measures
Ownership
Proprietary
Certified
Oct 21, 2024
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
22D2286681Highrax Homecare LLC55 Middlesex St, North Chelmsford, MA 01863Certificate of waiverAug 1, 2027

National Provider Directory

National Provider Directory

Locations

55 Middlesex St
Ste 4
North Chelmsford, MA 01863
Phone (978) 970-0319

51 Middlesex St
Unit 130
North Chelmsford, MA 01863
Phone (978) 970-0319

55 Middlesex St
#4
North Chelmsford, MA 01863
Phone (978) 970-0319

Ownership & related parties

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.

NameRoleSinceShare
Bernard M Kinyua Individual 5% Or Greater Direct Ownership InterestPresident Ceo Jan 9, 2023 100%
Corporate DirectorPresident Ceo Jan 9, 2023 100%
W-2 Managing EmployeePresident Ceo Jan 9, 2023 100%

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1255038717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 MIDDLESEX ST UNIT 130",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631566",
            "telephone_number": "978-970-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MIDDLESEX ST # 4",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631569",
            "telephone_number": "978-970-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHRAX HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "KINYUA",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-970-0319"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.