Organization Active NPI

Brigham Home Care Services Inc

  • Home Health Agency
  • Holbrook, MA
National Provider Identifier
1427479591
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BRIGHAM HOME CARE SERVICES INC
Practice address
82 South Franklin Street
Unit #B
Holbrook, MA 02343
Phone
(508) 857-0627
Fax
(508) 857-0720
NPI assigned
Dec 17, 2013
Last updated
Aug 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Authorized official

Name
Catherine G Kamandu
Title
Ceo
Phone
(508) 577-1058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

82 South Franklin Street
Unit #B
Holbrook, MA 02343

Mailing address

82 South Franklin Street
Unit #B
Holbrook, MA 02343
Phone (508) 857-0627

Other identifiers 1

IdentifierTypeStateIssuer
110103705-AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140505002232 MA Part A Provider - Home Health Agency 8921231556 Practice locations: Holbrook, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427479591. Details of each certification follow.

Home health agency certification: CCN 227605

Legal name
BRIGHAM HOME CARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 24, 2014
Last certification
Dec 24, 2014
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 9, 2013 in MA
Enrollment address
84 S Franklin St
Unit B
Holbrook, MA 02343-1423
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Brigham Home Care Services IncCCN 227605 · All quality measures
Ownership
Proprietary
Certified
Dec 24, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
22D2075302Brigham Home Care Services Inc84 South Franklin St, Holbrook, MA 02343Certificate of waiverMar 25, 2028

National Provider Directory

National Provider Directory

Locations

1 Kiddie Dr
Ste 225
Avon, MA 02322
Phone (508) 577-1058

84 S Franklin St
#B
Holbrook, MA 02343
Phone (508) 857-0627

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Martin G Kamandu Individual 5% Or Greater Direct Ownership Interest Mar 8, 2021 100%
Corporate DirectorDirector Mar 8, 2021 100%
W-2 Managing EmployeeCeo Mar 8, 2021 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1427479591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 SOUTH FRANKLIN STREET",
            "address_2": "UNIT #B",
            "city": "HOLBROOK",
            "state": "MA",
            "postal_code": "02343",
            "telephone_number": "508-857-0627",
            "fax_number": "508-857-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 SOUTH FRANKLIN STREET",
            "address_2": "UNIT #B",
            "city": "HOLBROOK",
            "state": "MA",
            "postal_code": "02343",
            "telephone_number": "508-857-0627",
            "fax_number": "508-857-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHAM HOME CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "KAMANDU",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-577-1058"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110103705-A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, MA

Sources for this page

Verify at the official NPI Registry.