Active NPI
Caring Hearts Homecare, Inc.
- Home Health Agency
- Wilmington, MA
National Provider Identifier
1417293937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2023
- 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
- Alexander C Ngunu
- Title
- President
- Phone
- (978) 658-5104
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110101554A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 26, 2013
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2054307 | Caring Hearts Homecare Inc | Certificate of waiver | Feb 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Alexander C Ngunu | 5% Or Greater Direct Ownership Interest | Mar 8, 2013 | 100% |
| Corporate Officer | Mar 8, 2013 | ||
| Corporate Director | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.