NPIMap

Organization Active NPI

Caretenders VS of Boston, LLC

Doing business as Caretenders

  • Home Health Agency
  • Needham Heights, MA
National Provider Identifier
1396929048
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARETENDERS VS OF BOSTON, LLC
Doing business as
Caretenders
Practice address
200 Reservoir St Ste 309
Needham Heights, MA 02494-3146
Phone
(617) 332-5015
Fax
(617) 332-5153
NPI assigned
Dec 18, 2007
Last updated
Aug 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Nicholas Gachassin III
Title
Executive Vice President
Phone
(617) 332-5015

Specialties & licenses 1

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

Addresses

Primary practice location

200 Reservoir St Ste 309
Needham Heights, MA 02494-3146

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other names 1

  • Caretenders Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080701000058 MA Part A Provider - Home Health Agency 3274605613 Practice locations: Westborough, MA; North Easton, MA; Needham Heights, MA; Bourne, MA; North Andover, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396929048. Details of each certification follow.

Home health agency certification: CCN 227269

Legal name
CARETENDERS VS OF BOSTON, LLC
Doing business as
CARETENDERS
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 11, 1992
Last certification
Feb 15, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 11, 2007 in MA
Enrollment address
200 Reservoir St
Ste 309
Needham Heights, MA 02494-3146

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
CaretendersCCN 227269 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Aug 11, 1992
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
22D0694664Caretenders VS of Boston LLC Dba Caretenders200 Reservoir Street, Needham Heights, MA 02494Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
Caretenders VS of Boston LLC3 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.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Marcus Donavon Macip Individual Corporate OfficerCorporate Secretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerCfo/Treasurer Feb 22, 2023
Nicholas Gachassin Individual Corporate Officer Dec 13, 2019
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Jul 13, 2020
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Kim Donovan Individual W-2 Managing EmployeeAdministrator/Director of Nursing Nov 7, 2022
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Direct Ownership Interest Jan 1, 2017 100%

Facilities with the same owner 111

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

View all 111

Practitioners & affiliated clinicians

Affiliated clinicians 388

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

View all 388

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1396929048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RESERVOIR ST STE 309",
            "city": "NEEDHAM HEIGHTS",
            "state": "MA",
            "postal_code": "024943146",
            "telephone_number": "617-332-5015",
            "fax_number": "617-332-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARETENDERS VS OF BOSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "617-332-5015",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caretenders",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Caretenders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Needham Heights, MA

Sources for this page

Verify at the official NPI Registry.