Organization Active NPI

Western Mass Individualized Home Care LLC

  • Family Nurse Practitioner
  • Belchertown, MA
National Provider Identifier
1386362226
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
WESTERN MASS INDIVIDUALIZED HOME CARE LLC
Practice address
145 Old Amherst Rd
Belchertown, MA 01007-9745
Phone
(413) 450-1500
Fax
(413) 450-1550
NPI assigned
Aug 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Miss Nice Nabitaka, NPNPI 1669882346
Title
Owner
Phone
(413) 450-1500

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
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

145 Old Amherst Rd
Belchertown, MA 01007-9745

Mailing address

145 Old Amherst Rd
Belchertown, MA 01007-9745
Phone (413) 450-1500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220831001497 MA Part B Supplier - Clinic/Group Practice 1557745155 Receives reassigned benefits from 1 practitioner
Practice locations: Belchertown, MA

National Provider Directory

National Provider Directory

Locations

145 Old Amherst Rd
Belchertown, MA 01007
Phone (413) 253-9777

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1386362226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 OLD AMHERST RD",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010079745",
            "telephone_number": "413-450-1500",
            "fax_number": "413-450-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 OLD AMHERST RD",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010079745",
            "telephone_number": "413-450-1500",
            "fax_number": "413-450-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MASS INDIVIDUALIZED HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "NABITAKA",
        "authorized_official_first_name": "NICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-450-1500",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belchertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.