Town of Acton

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TOWN OF ACTON

Practice address

472 Main St
Acton, MA 01720-3952

Phone

(978) 264-9653

Fax

(978) 264-4405

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Merrily Evdokimoff, RN

Title

Administrator

Phone

(978) 264-9653

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Acton Public Health Nursing Service Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Home health agency certification: CCN 227057

Legal name

TOWN OF ACTON

Doing business as

ACTON PUBLIC HEALTH NURSING SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 1, 1966

Last certification

Nov 7, 2018

Ownership / control type

Government Operated

Organization structure

OtherNon-profit

Incorporated

Jul 1, 1966 in MA

Enrollment address

30 Sudbury Rd
Acton, MA 01720-5953
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).

• Town of Acton

  • Land Ambulance
  • Acton, MA
  • NPI 1669473021

  5496772840

  Same PAC ID

Listed as

Acton Public Health Nursing SECCN 227057

Overall star rating

3.5 of 5

Ownership

Government Operated

Certified

Jul 1, 1966

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Town of Acton3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Acton Public Schools

  • Local Education Agency (LEA)
  • Acton, MA
  • NPI 1619097599
  NPD tax ID
• Town of Acton

  • Land Ambulance
  • Acton, MA
  • NPI 1669473021
  NPD tax ID

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.

Owners & managing parties with NPI records 1

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

• Town of Acton

  • Land Ambulance
  • Acton, MA
  • NPI 1669473021

  5% Or Greater Direct Ownership Interest

  CMS ownership

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Town of Acton

  • Land Ambulance
  • Acton, MA
  • NPI 1669473021
  NPPES parent name

Affiliated clinicians 2

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

• Matthew Sloan

  • Orthopaedic Surgery Physician
  • Concord, MA
  • NPI 1801281357

  Home health agency

  Care Compare affiliation
• Susanne C Hartmann, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Pittsburgh, PA
  • NPI 1538140546

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1376597104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 MAIN ST",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203952",
            "telephone_number": "978-264-9653",
            "fax_number": "978-264-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 MAIN ST",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203952",
            "telephone_number": "978-264-9653",
            "fax_number": "978-264-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF ACTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "EVDOKIMOFF",
        "authorized_official_first_name": "MERRILY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "978-264-9653",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "120057",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "300529",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0601918",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acton Public Health Nursing Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Tironati, DPT
• Priscilla Tobey, LICSW MSW
• Cristina Tono
• Grace Tormey
• Theodoros Toufas, PHARMD
• Town of Acton
• Michelle L. Travassos, MD
• Ray William Tripp III, M.D.
• Kayla Trutt
• Victoria Huiping Tu

• Home Health Agency in Acton, MA
• Providers in Acton, 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 Jun 16, 2008; 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.