Organization Active NPI

Jerusalem Home Care LLC

  • Home Health Agency
  • Canton, MA
National Provider Identifier
1417607441
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JERUSALEM HOME CARE LLC
Practice address
45 Dan Rd Ste 125
Canton, MA 02021-2852
Phone
(508) 455-0118
Fax
(508) 455-0118
NPI assigned
Mar 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Dominique Morisset Pierre
Title
Mamager
Phone
(781) 535-8028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

45 Dan Rd Ste 125
Canton, MA 02021-2852

Mailing address

45 Dan Rd Ste 125
Canton, MA 02021-2852
Phone (508) 455-0118

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CANTON Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1417607441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 DAN RD STE 125",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212852",
            "telephone_number": "508-455-0118",
            "fax_number": "508-455-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 DAN RD STE 125",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212852",
            "telephone_number": "508-455-0118",
            "fax_number": "508-455-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERUSALEM HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "MORISSET",
        "authorized_official_title_or_position": "MAMAGER",
        "authorized_official_telephone_number": "781-535-8028"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CANTON",
            "affiliation": "N",
            "endpointDescription": "web",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "45 Dan Rd Ste 125",
            "city": "Canton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020212852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.