Organization Active NPI

Sully Home Care Transportation LLC

  • Transportation Broker
  • Avon, MA
National Provider Identifier
1417547969
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
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, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SULLY HOME CARE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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)CodeLicenseStatePrimary
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.

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.

Verify at the official NPI Registry.