Kimba Compassionate Healthcare & Vna Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KIMBA COMPASSIONATE HEALTHCARE & VNA SERVICES LLC

Practice address

262 Main St Ste 3
Milford, MA 01757-2530

Phone

(085) 935-4514

NPI assigned

Aug 14, 2023

Organization subpart

No

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

Authorized official

Name

Ngoy Kimba

Title

Owner

Phone

(774) 573-7167

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356124473. Details of each certification follow.

• CCN 227792 Home health agency · Active · Details

Home health agency certification: CCN 227792

Legal name

KIMBA COMPASSIONATE HEALTHCARE & VNA SERVICES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 3, 2025

Last certification

Jan 24, 2025

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

262 Main St
Ste 3
Milford, MA 01757-2530

Listed as

Kimba Compassionate Healthcare & Vna Services LLCCCN 227792 · All quality measures

Ownership

Proprietary

Certified

Feb 3, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

Locations

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.

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1356124473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CEDAR ST UNIT 2",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571640",
            "telephone_number": "774-573-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 MAIN ST STE 3",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572530",
            "telephone_number": "085-935-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBA COMPASSIONATE HEALTHCARE & VNA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "KIMBA",
        "authorized_official_first_name": "NGOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-573-7167"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Kiernan
• Shannon Kilduff
• Isabella P Killarney
• Lisa Kim
• Young C Kim, O.D.
• Kayla Kimball
• Deborah A Kindberg
• Bridget King
• Chelsey King
• Cienna King, BCBA, LABA

• Home Health Agency in Milford, MA
• Providers in Milford, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.