Active NPI
West River Home Health, LLC
- Home Health Agency
- Needham, MA
National Provider Identifier
1386213528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- WEST RIVER HOME HEALTH, LLC
- Practice address
- 63 Kendrick St
Needham, MA 02494-2760 - Phone
- (781) 707-9000
- NPI assigned
- Jun 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judith Labossiere
- Title
- President
- Phone
- (781) 707-9543
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
63 Kendrick St
Needham, MA 02494-2760
Mailing address
63 Kendrick St
Needham, MA 02494-2760
Phone (781) 707-9085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211210001909 | MA | Part A Provider - Home Health Agency | 5294125910 | Practice locations: Needham, MA |
Home health agency certification: CCN 227456
- Legal name
- WEST RIVER HOME HEALTH LLC
- Doing business as
- WEST RIVER HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 5, 1997
- Last certification
- Nov 20, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jun 22, 2021 in MA
- Enrollment address
- 63 Kendrick St
Needham, MA 02494-2760
Care Compare: Home health agency
Medicare Care Compare- Listed as
- West River Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 5, 1997
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Scott C Schuster | 5% Or Greater Indirect Ownership Interest | Sep 15, 2021 | 60% |
| Corporate Officer | Sep 15, 2021 | 100% | |
| Corporate Director | Sep 15, 2021 | 100% | |
| West River Home Health Holding LLC | 5% Or Greater Direct Ownership Interest | Sep 15, 2021 | 100% |
| Operational/Managerial Control | Sep 15, 2021 | 100% | |
| Alexandra Schuster | 5% Or Greater Indirect Ownership Interest | Sep 15, 2021 | 21% |
| Corporate Officer | Sep 15, 2021 | 100% | |
| Operational/Managerial Control | Sep 15, 2021 | 100% | |
| Judith Labossiere | 5% Or Greater Indirect Ownership Interest | Sep 15, 2021 | 7% |
| Corporate Officer | Sep 15, 2021 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 9
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Marshfield, MA
- NPI 1932147444
Home health agency
-
- Internal Medicine Physician
- Hudson, MA
- NPI 1912967613
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624320000000",
"number": "1386213528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 KENDRICK ST",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024942760",
"telephone_number": "781-707-9085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 KENDRICK ST",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024942760",
"telephone_number": "781-707-9000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST RIVER HOME HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A",
"authorized_official_last_name": "LABOSSIERE",
"authorized_official_first_name": "JUDITH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "781-707-9543"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.