Crown Home Healthcare & Psych Service Ma Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CROWN HOME HEALTHCARE & PSYCH SERVICE MA INC

Practice address

320 Central St
Unit A2
Saugus, MA 01906-2371

Phone

(781) 233-2377

Fax

(781) 233-2399

NPI assigned

Jun 21, 2013

Organization subpart

No

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

Authorized official

Name

Eghe Osawe

Title

President

Phone

(781) 215-3815

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Home health agency certification: CCN 227591

Legal name

CROWN HOME HEALTHCARE & PSYCH SERVICE MA INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 24, 2014

Last certification

Jul 24, 2014

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 18, 2013 in MA

Enrollment address

320 Central St 2a
Saugus, MA 01906-2372
HHA Branch

Listed as

Crown Home Healthcare Ma, IncCCN 227591 · All quality measures

Ownership

Proprietary

Certified

Jul 24, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

Locations

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.

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1356780456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CENTRAL ST",
            "address_2": "UNIT A2",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019062371",
            "telephone_number": "781-233-2377",
            "fax_number": "781-233-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CENTRAL ST",
            "address_2": "UNIT A2",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019062371",
            "telephone_number": "781-233-2377",
            "fax_number": "781-233-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN HOME HEALTHCARE & PSYCH SERVICE MA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "OSAWE",
        "authorized_official_first_name": "EGHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-215-3815"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110101460A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Saugus, MA
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• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.