Organization Active NPI

Triple E Healthcare Services LLC

  • Home Health Agency
  • Brockton, MA
National Provider Identifier
1417793944
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRIPLE E HEALTHCARE SERVICES LLC
Practice address
75 Coolidge Ave
Brockton, MA 02302-3353
Phone
(617) 888-5696
NPI assigned
Jul 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Benedicta Eigbokhan
Title
President
Phone
(617) 888-5696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

75 Coolidge Ave
Brockton, MA 02302-3353

Mailing address

75 Coolidge Ave
Brockton, MA 02302-3353
Phone (617) 888-5696

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
22D2319905Triple E Healthcare Services LLC75 Coolidge Avenue, Brockton, MA 02302Certificate of waiverMar 9, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1417793944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 COOLIDGE AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023353",
            "telephone_number": "617-888-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 COOLIDGE AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023353",
            "telephone_number": "617-888-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIPLE E HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "EIGBOKHAN",
        "authorized_official_first_name": "BENEDICTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-888-5696"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.