Organization Active NPI

Love and Mercy Home Healthcare, LLC

  • Home Health Agency
  • Dedham, MA
National Provider Identifier
1356474159
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
231042 Issued in MA
Legal business name
LOVE AND MERCY HOME HEALTHCARE, LLC
Practice address
30 Eastbrook Rd
403
Dedham, MA 02026-2048
Phone
(781) 326-6200
Fax
(781) 326-0707
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Anthony Osaghae Ehikhamhen, RNNPI 1326170440
Title
Director of Nurses
Phone
(781) 326-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 231042 MA Primary

Addresses

Primary practice location

30 Eastbrook Rd
403
Dedham, MA 02026-2048

Mailing address

30 Eastbrook Rd
403
Dedham, MA 02026-2048
Phone (781) 326-6200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140828000315 MA Part A Provider - Home Health Agency 2668578410 Practice locations: Dedham, MA

Home health agency certification: CCN 227623

Legal name
LOVE AND MERCY HOME HEALTHCARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 27, 2015
Last certification
Apr 27, 2015
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Nov 26, 2006 in MA
Enrollment address
30 Eastbrook Rd
Ste 402
Dedham, MA 02026-2086
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Love and Mercy Home Healthcare LLCCCN 227623
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Apr 27, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
22D2081096Love and Mercy Home Healthcare LLC30 Eastbrook Road Unit 402, Dedham, MA 02026Certificate of waiverJul 17, 2028

National Provider Directory

National Provider Directory

Locations

30 Eastbrook Rd
Ste 402
Dedham, MA 02026
Phone (857) 399-5097

30 Eastbrook Rd
Ste 403
Dedham, MA 02026
Phone (781) 326-6200

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
Anthony O Ehikhamhen Individual 5% Or Greater Direct Ownership Interest Dec 11, 2006 100%
Corporate OfficerCeo Jul 1, 2014 100%
W-2 Managing EmployeeAdministrator/Don Jul 1, 2014 100%
Mercy Ehikhamhen Individual Corporate DirectorBoard Member Jul 30, 2014 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1356474159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 EASTBROOK RD",
            "address_2": "403",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020262048",
            "telephone_number": "781-326-6200",
            "fax_number": "781-326-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 EASTBROOK RD",
            "address_2": "403",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020262048",
            "telephone_number": "781-326-6200",
            "fax_number": "781-326-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE AND MERCY HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "EHIKHAMHEN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "OSAGHAE",
        "authorized_official_title_or_position": "DIRECTOR OF NURSES",
        "authorized_official_telephone_number": "781-326-6200",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "231042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

Verify at the official NPI Registry.