Organization Active NPI

Caring Hearts Homecare, Inc.

  • Home Health Agency
  • Wilmington, MA
National Provider Identifier
1417293937
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARING HEARTS HOMECARE, INC.
Practice address
188 Main St
Ste. 201
Wilmington, MA 01887-2087
Phone
(978) 658-5104
Fax
(978) 658-5106
NPI assigned
Jan 2, 2013
Last updated
Oct 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Alexander C Ngunu
Title
President
Phone
(978) 658-5104

Specialties & licenses 1

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

Addresses

Primary practice location

188 Main St
Ste. 201
Wilmington, MA 01887-2087

Mailing address

188 Main St
Ste. 201
Wilmington, MA 01887-2087
Phone (978) 658-5104

Other identifiers 1

IdentifierTypeStateIssuer
110101554AMedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130501000443 MA Part A Provider - Home Health Agency 9638316110 Practice locations: Wilmington, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417293937. Details of each certification follow.

Home health agency certification: CCN 227592

Legal name
CARING HEARTS HOMECARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 26, 2013
Last certification
Nov 26, 2013
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 2, 2013 in MA
Enrollment address
188 Main St
Ste 201
Wilmington, MA 01887-2046

Care Compare: Home health agency

Medicare Care Compare
Listed as
Caring Hearts Homecare IncCCN 227592 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Nov 26, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
22D2054307Caring Hearts Homecare Inc188 Main Street, Suite 201, Wilmington, MA 01887Certificate of waiverFeb 18, 2027

National Provider Directory

National Provider Directory

Locations

188 Main St
Ste 201
Wilmington, MA 01887
Phone (978) 658-5104

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
Alexander C Ngunu Individual 5% Or Greater Direct Ownership Interest Mar 8, 2013 100%
Corporate OfficerPresident Mar 8, 2013
Corporate DirectorCeo Mar 8, 2013
W-2 Managing Employee Mar 8, 2013

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1417293937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 MAIN ST",
            "address_2": "STE. 201",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872087",
            "telephone_number": "978-658-5104",
            "fax_number": "978-658-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 MAIN ST",
            "address_2": "STE. 201",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872087",
            "telephone_number": "978-658-5104",
            "fax_number": "978-658-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HEARTS HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "NGUNU",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-658-5104"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110101554A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, MA

Sources for this page

Verify at the official NPI Registry.