Maya Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAYA HOME HEALTH CARE LLC

Practice address

10 Mazzeo Dr Ste 203
Randolph, MA 02368-3433

Phone

(617) 516-7102

NPI assigned

Sep 15, 2022

Organization subpart

No

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

Authorized official

Name

Fabiola Desrosiers

Title

Owner / Director of Nursing

Phone

(617) 516-7102

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Home health agency certification: CCN 227762

Legal name

MAYA HOME HEALTH CARE, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 8, 2023

Last certification

Apr 27, 2023

Organization structure

LLCProprietary

Incorporated

Sep 12, 2022 in MA

Enrollment address

10 Mazzeo Dr
Ste 203
Randolph, MA 02368-3433
HHA Branch

Listed as

Maya Home Health Care LLCCCN 227762

Overall star rating

1.5 of 5

Ownership

-

Certified

May 8, 2023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 2

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

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ilona M Kopits, M.D., M.P.H.

  • Geriatric Medicine (Family Medicine) Physician
  • Boston, MA
  • NPI 1477622512

  Home health agency

  Care Compare affiliation
• Stephanie Pagliuca

  • Geriatric Medicine (Internal Medicine) Physician
  • Boston, MA
  • NPI 1225532674

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1447972575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MAZZEO DR STE 203",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683433",
            "telephone_number": "617-516-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAZZEO DR STE 203",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683433",
            "telephone_number": "617-516-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYA HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "DESROSIERS",
        "authorized_official_first_name": "FABIOLA",
        "authorized_official_title_or_position": "OWNER / DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "617-516-7102"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brayton Maxson
• May Institute
• May Institute
• May Institute
• Karen May
• Giana-Carla Mayant
• Violet Mbawuike, RN
• Teddy Mbaziira
• Mbilacity Limited Liability Company
• Fiona McCann

• Home Health Agency in Randolph, MA
• Providers in Randolph, 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 Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.