Active NPI
Sully Home Care Transportation LLC
- Transportation Broker
- Avon, MA
National Provider Identifier
1417547969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- Legal business name
- SULLY HOME CARE TRANSPORTATION LLC
- Practice address
- 29 Memorial Dr
Avon, MA 02322-1918 - Phone
- (508) 510-6963
- Fax
- (508) 857-4472
- NPI assigned
- Jan 19, 2021
- Last updated
- Jan 19, 2021
- Organization subpart
- Yes
- Parent organization
- SULLY HOME CARE SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Osman E Sully
- Title
- VP
- Phone
- (617) 212-6527
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | Primary |
Addresses
Primary practice location
29 Memorial Dr
Avon, MA 02322-1918
Mailing address
29 Memorial Dr
Avon, MA 02322-1918
Phone (508) 510-6963
National Provider Directory
National Provider Directory- Part of
- Sully Home Care Services
Locations
29 Memorial Dr
Avon, MA 02322
Phone (508) 510-6963
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Home Health Agency
- Avon, MA
- NPI 1154663094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611014400000",
"number": "1417547969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 MEMORIAL DR",
"city": "AVON",
"state": "MA",
"postal_code": "023221918",
"telephone_number": "508-510-6963",
"fax_number": "508-857-4472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 MEMORIAL DR",
"city": "AVON",
"state": "MA",
"postal_code": "023221918",
"telephone_number": "508-510-6963",
"fax_number": "508-857-4472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SULLY HOME CARE TRANSPORTATION LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SULLY HOME CARE SERVICES",
"enumeration_date": "2021-01-19",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A",
"authorized_official_last_name": "SULLY",
"authorized_official_first_name": "OSMAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "617-212-6527"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.