Active NPI
Highrax Homecare LLC
- Home Health Agency
- North Chelmsford, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- Proprietary
- Certified
- Oct 21, 2024
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2286681 | Highrax Homecare LLC | Certificate of waiver | Aug 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Bernard M Kinyua | 5% Or Greater Direct Ownership Interest | Jan 9, 2023 | 100% |
| Corporate Director | Jan 9, 2023 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.