Organization Active NPI

Prime Home Health

  • Home Health Agency
  • Boxborough, MA
National Provider Identifier
1407490089
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRIME HOME HEALTH
Practice address
47 Joyce LN
Boxborough, MA 01719-1534
Phone
(781) 632-7802
NPI assigned
Nov 6, 2019
Last updated
Jun 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Authorized official

Name
Malick Issah
Title
Clinical Director
Phone
(781) 632-7802

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Home Health Registered Nurse 163WH0200X NU

Addresses

Primary practice location

47 Joyce LN
Boxborough, MA 01719-1534

Mailing address

47 Joyce LN
Boxborough, MA 01719-1534
Phone (781) 632-7802

National Provider Directory

National Provider Directory

Locations

100 Powdermill Rd
Ste 105
Acton, MA 01720
Phone (718) 632-7806

100 Powdermill Rd
Ste 173
Acton, MA 01720
Phone (781) 632-7806

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1407490089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 JOYCE LN",
            "city": "BOXBOROUGH",
            "state": "MA",
            "postal_code": "017191534",
            "telephone_number": "781-632-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 JOYCE LN",
            "city": "BOXBOROUGH",
            "state": "MA",
            "postal_code": "017191534",
            "telephone_number": "781-632-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "ISSAH",
        "authorized_official_first_name": "MALICK",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "781-632-7802"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boxborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.