NPIMap

Organization Active NPI

Middlesex Healthcare Services Inc

  • Home Health Agency
  • Lawrence, MA
National Provider Identifier
1285075382
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MIDDLESEX HEALTHCARE SERVICES INC
Practice address
360 Merrimack St. Building 5 2ND Floor
Suite 25
Lawrence, MA 01843-1740
Phone
(978) 655-4749
NPI assigned
Jul 17, 2013
Last updated
Nov 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Authorized official

Name
Mr. Duncan Irura
Title
Ceo
Phone
(978) 655-4749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MA Primary

Addresses

Primary practice location

360 Merrimack St. Building 5 2ND Floor
Suite 25
Lawrence, MA 01843-1740

Mailing address

360 Merrimack St. Building 5 2ND Floor
Suite 25
Lawrence, MA 01843-1740
Phone (978) 655-4749

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140214000334 MA Part A Provider - Home Health Agency 6709015720 Practice locations: Lawrence, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285075382. Details of each certification follow.

Home health agency certification: CCN 227589

Legal name
MIDDLESEX HEALTHCARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 16, 2014
Last certification
Jul 16, 2014
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 10, 2013 in MA
Enrollment address
599 Canal St 6E-9
Lawrence, MA 01840-1244
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Middlesex Healthcare Services, IncCCN 227589 · All quality measures
Ownership
Proprietary
Certified
Jul 16, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Middlesex Healthcare Services2 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.

Locations

360 Merrimack St
Ste 25
Lawrence, MA 01843
Phone (978) 269-3810

599 Canal St
#6E9
Lawrence, MA 01840
Phone (978) 375-1516

130 Lincoln St
Ste 5
Worcester, MA 01605

Ownership & related parties

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.

NameRoleSinceShare
Duncan W Irura Individual 5% Or Greater Direct Ownership Interest Jul 10, 2013 50%
Corporate DirectorPresident/Ceo Jul 10, 2013 50%
Mercy Mukami Irura Individual 5% Or Greater Direct Ownership Interest Jul 10, 2013 50%
W-2 Managing EmployeeAdministrator Jul 10, 2013 50%

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1285075382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST. BUILDING 5 2ND FLOOR",
            "address_2": "SUITE 25",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431740",
            "telephone_number": "978-655-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST. BUILDING 5 2ND FLOOR",
            "address_2": "SUITE 25",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431740",
            "telephone_number": "978-655-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "IRURA",
        "authorized_official_first_name": "DUNCAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-655-4749",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.