Organization Active NPI

M&O Health Services LLC

  • Home Health Agency
  • Brockton, MA
National Provider Identifier
1316600455
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
M&O HEALTH SERVICES LLC
Practice address
52 Albert St
Brockton, MA 02302-1801
Phone
(917) 525-8867
NPI assigned
Oct 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Authorized official

Name
Dennis O. Ehikhamen
Title
Owner
Phone
(917) 525-8867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

52 Albert St
Brockton, MA 02302-1801

Mailing address

52 Albert St
Brockton, MA 02302-1801
Phone (917) 525-8867

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231010000714 MA Part A Provider - Home Health Agency 2062867146 Practice locations: Canton, MA

Home health agency certification: CCN 227793

Legal name
M&O HEALTH SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 16, 2025
Last certification
Jan 10, 2025
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
45 Dan Rd
Ste 125
Canton, MA 02021-2852
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
M&O Health Services LLCCCN 227793 · All quality measures
Ownership
Proprietary
Certified
Jan 16, 2025
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
22D2310873M&O Health Services LLC45 Dan Rd, Canton, MA 02021Certificate of waiverSep 11, 2026

National Provider Directory

National Provider Directory

Locations

45 Dan Rd
Ste 125
Canton, MA 02021
Phone (401) 680-0411

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
Dennis Ehikhamen Individual 5% Or Greater Direct Ownership InterestOwner/President Aug 13, 2021 100%
Corporate DirectorOwner/President Aug 13, 2021 100%
W-2 Managing EmployeeOwner/President Aug 13, 2021 100%

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1316600455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 ALBERT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023021801",
            "telephone_number": "917-525-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 ALBERT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023021801",
            "telephone_number": "917-525-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&O HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "EHIKHAMEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-525-8867"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.