Convergence Support Initiative Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

T9FQ Issued in MA

Legal business name

CONVERGENCE SUPPORT INITIATIVE INC.

Doing business as

one on one home care services

Practice address

2802 Stearns Hill Rd
Stearns Hill Road
Waltham, MA 02451-3356

Phone

(617) 467-4180

Fax

(617) 467-5361

NPI assigned

Jan 20, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Muwulya

Title

President

Phone

(617) 467-4180

Specialties & licenses 1

Addresses

Other names 1

• one on one home care services Doing business as

Locations

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1427329564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 WASHINGTON ST",
            "address_2": "SUITE 4",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601690",
            "telephone_number": "617-467-4180",
            "fax_number": "617-467-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 STEARNS HILL RD",
            "address_2": "STEARNS HILL ROAD",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024513356",
            "telephone_number": "617-467-4180",
            "fax_number": "617-467-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVERGENCE SUPPORT INITIATIVE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "MUWULYA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-467-4180",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "T9FQ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "one on one home care services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dhayanara Dhelsayrys Concepcion Guzman
• Deborah Winsor Conley, LICSW
• Lindsay Conley, MA
• Rebecca F Connor, M.D.
• Caitlin Elaine Conroy, PSYD
• Katherine Conway, LICSW
• Suzanne Conway
• Kristin Marie Conzo, MS, CCC-SLP
• Brandi Cooley
• Carmen Cooper

• Home Health Agency in Waltham, MA
• Providers in Waltham, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.