Washington Healthcare LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

WASHINGTON HEALTHCARE LLC

Practice address

5260 Washington St Ste 11
West Roxbury, MA 02132-6354

Phone

(617) 475-2400

Fax

(800) 546-2141

NPI assigned

Nov 8, 2022

Last updated

Aug 28, 2026By 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

Maxime Joseph

Title

Chief Operating Officer

Phone

(617) 475-2400

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275241341. Details of each certification follow.

• CCN 227774 Home health agency · Active · Details

Home health agency certification: CCN 227774

Legal name

WASHINGTON HEALTHCARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 30, 2024

Last certification

Jan 18, 2024

Ownership / control type

Non-Profit

Organization structure

LLCProprietary

Incorporated

Sep 12, 2022 in MA

Enrollment address

5260 Washington St
Ste 11
West Roxbury, MA 02132-6354

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Washington Healthcare LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Boston, MA
  • NPI 1144164732

  O20250729000237

  Same enrollment

Listed as

Washington Healthcare LLCCCN 227774 · All quality measures

Ownership

Non-Profit

Certified

Jan 30, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, 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

Tax ID family

Washington Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Washington Healthcare LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Boston, MA
  • NPI 1144164732
  NPD tax ID

All disclosed owners & managing parties 3

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Washington Healthcare LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Boston, MA
  • NPI 1144164732
  NPPES parent name

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.

• Gouri Datta, MD

  • Psychiatry Physician
  • Burlington, MA
  • NPI 1528054889
  Medicare reassignment NPD
• Aloysius Mokom Tamufor, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Worcester, MA
  • NPI 1689466690
  Medicare reassignment NPD

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1275241341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5260 WASHINGTON ST STE 11",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021326354",
            "telephone_number": "617-475-2400",
            "fax_number": "800-546-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5260 WASHINGTON ST STE 11",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021326354",
            "telephone_number": "617-475-2400",
            "fax_number": "800-546-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "MAXIME",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "617-475-2400"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.whashingtonhealthinc.com",
            "affiliation": "N",
            "endpointDescription": "Home Healthcare Agency",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Healthcare",
            "address_1": "5260 Washington St Ste 11",
            "city": "West Roxbury",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021326354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily S Wan, MD
• Andrew C Wang, M.D.
• Hai Wei Wang, DPT
• Catherine G Ware, MA, LMHC
• Keiran Warner, M.D.
• Gabriella Antionette Watson, OD
• Ebony Weathers
• Kyle Weaver
• Wellspring Mentors LLC
• West Roxbury Dental Arts

• Psychiatry Physician in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.