NPIMap

Organization Active NPI

Umass Memorial Health Care, Inc.

  • Home Health Agency
  • Leominster, MA
National Provider Identifier
1366420663
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
UMASS MEMORIAL HEALTH CARE, INC.
Practice address
60 Hospital Rd
Leominster, MA 01453-2205
Phone
(978) 728-0621
Fax
(978) 798-3137
NPI assigned
Jan 6, 2006
Organization subpart
Yes
Parent organization
UMASS MEMORIAL HEALTH CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Arthur St. Germain
Title
Executive Director
Phone
(978) 798-3171

Specialties & licenses 1

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

Addresses

Primary practice location

60 Hospital Rd
Leominster, MA 01453-2205

Mailing address

60 Hospital Rd
Leominster, MA 01453-2205
Phone (978) 728-0621

Other identifiers 5

IdentifierTypeStateIssuer
6325OtherMAFALLON HEALTH PLAN
120009OtherMDBLUE CROSS
702076OtherMAHARVARDPILGRIM HEALTH PLA
786419OtherMANETWORK HEALTH
801325OtherMATUFTS HEALTH PLAN

Other names 1

  • Health Alliance Home Health and Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040407001068 MA Part A Provider - Home Health Agency 2961495643 Practice locations: Leominster, MA

Home health agency certification: CCN 227009

Legal name
UMASS MEMORIAL HEALTH CARE, INC.
Doing business as
HEALTH ALLIANCE HOME HEALTH AND HOSPICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Nov 25, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Dec 1, 1989 in MA
Enrollment address
60 Hospital Rd
Leominster, MA 01453-2205
HHA Branch

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Health Alliance Home Health and HospiceCCN 227009
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Jul 1, 1966
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
Health Alliance Home Health and Hospice2 organizations share this tax ID, including this one
Part of
Umass Memorial

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

25 Tucker Dr
Leominster, MA 01453
Phone (978) 728-0621

9 Leominster Connector
Leominster, MA 01453
Phone (978) 728-0621

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Melissa Nicole Lennon Individual W-2 Managing EmployeeClaims Analyst Jun 16, 2022
Michael a Mahan Individual Corporate DirectorBoard Member Jan 1, 2021 5.55%
Leslie Jane Bovenzi Individual Corporate DirectorBoard Member Jun 1, 2006 5.55%
Heidi Ann Nano Individual W-2 Managing EmployeeManager Sep 26, 2022
Umass Memorial Community Hospitals Organization, Worcester, MA Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 1998 5%
Steven M McCue Individual Corporate OfficerCfo Oct 1, 2019
Jody B Anderson Individual Corporate OfficerExecutive Officer Sep 1, 2021
Luis Maseda Individual Corporate DirectorBoard Member Mar 1, 2021 5.55%
Kimberly W Ebb Individual W-2 Managing EmployeeMD; Mar 1, 2024
Central New England Healthalliance, Inc. Organization, Leominster, MA Non-profit Operational/Managerial Control Nov 4, 1994 5%
Umass Memorial Health Care, Inc. Organization, Worcester, MA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 1998 90%
Sandra R. Layport Individual W-2 Managing EmployeeDirector of Finance and Business Op Oct 1, 2017

Owners & managing parties with NPI records 1

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

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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

Affiliated clinicians 38

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1366420663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HOSPITAL RD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532205",
            "telephone_number": "978-728-0621",
            "fax_number": "978-728-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HOSPITAL RD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532205",
            "telephone_number": "978-728-0621",
            "fax_number": "978-798-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMASS MEMORIAL HEALTH CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UMASS MEMORIAL HEALTH CARE, INC",
        "enumeration_date": "2006-01-06",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "ST. GERMAIN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "978-798-3171"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON HEALTH PLAN",
            "identifier": "6325",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "120009",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARDPILGRIM HEALTH PLA",
            "identifier": "702076",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "786419",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "801325",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Alliance Home Health and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.