Organization Active NPI

Alliance Home Care Visiting Nurse Agency, Inc.

  • Home Health Agency
  • Woburn, MA
National Provider Identifier
1376784660
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALLIANCE HOME CARE VISITING NURSE AGENCY, INC.
Practice address
331 Montvale Ave
Suite 650
Woburn, MA 01801-4675
Phone
(781) 420-9344
NPI assigned
Mar 16, 2009
Last updated
Apr 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Authorized official

Name
Mrs. Francoise Charles, RN BSNNPI 1598299869
Title
Ceo
Phone
(508) 718-8116

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 NU Primary

Addresses

Primary practice location

331 Montvale Ave
Suite 650
Woburn, MA 01801-4675

Mailing address

400 W Cummings Park Ste 3775
Woburn, MA 01801-6592
Phone (781) 281-1626

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160725000071 MA Part A Provider - Home Health Agency 7719030469 Practice locations: Woburn, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376784660. Details of each certification follow.

Home health agency certification: CCN 227519

Legal name
ALLIANCE HOME CARE VISITING NURSE AGENCY, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 12, 2010
Last certification
Mar 28, 2016
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 12, 2005 in MA
Enrollment address
400 W Cummings Park
Ste 3775
Woburn, MA 01801-6592
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Alliance Home Care Visiting Nurse AgencyCCN 227519 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Mar 12, 2010
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
22D1104323Alliance Home Care Visiting Nurse Agency, Inc400 West Cummings Park, Woburn, MA 01801Certificate of waiverAug 31, 2027

National Provider Directory

National Provider Directory

Locations

15 New England Executive Park
Burlington, MA 01803
Phone (781) 420-9344

35 Corporate Dr
Fl 4
Burlington, MA 01803
Phone (781) 420-9344

400 W Cummings Park
Ste 3775
Woburn, MA 01801
Phone (508) 718-8116

Ownership & related parties

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.

NameRoleSinceShare
Francoise S. Charles Individual 5% Or Greater Direct Ownership Interest Aug 1, 2016 100%
Corporate DirectorPresident/Ceo Aug 1, 2016 100%
W-2 Managing EmployeePresident/Ceo Aug 1, 2016 100%

Change-of-ownership history 2

DateEventCounterparty
Aug 1, 2016 Change of OwnershipThis provider was the buyer Alliance Home Care Visiting Nurse Agency, Inc.CCN 227519, MA, NPI 1376784660
Aug 1, 2016 Change of OwnershipThis provider was the seller Alliance Home Care Visiting Nurse Agency, Inc.CCN 227519, MA, NPI 1376784660

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1376784660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W CUMMINGS PARK STE 3775",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016592",
            "telephone_number": "781-281-1626",
            "fax_number": "866-281-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MONTVALE AVE",
            "address_2": "SUITE 650",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014675",
            "telephone_number": "781-420-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HOME CARE VISITING NURSE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "FRANCOISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-718-8116",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

Verify at the official NPI Registry.