Individual provider Active NPI

Susan A Mujjumbi

Nursing Care Agency
Worcester, MA

National Provider Identifier

1497465967

Registry record updated Nov 25, 2022

On this page

Key facts
NPPES NPI Registry
Medicare participation
National Provider Directory
Organizations & group practices1
NPI Registry JSON
Other providers in Worcester, MA
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Nursing Care AgencyTaxonomy code 251J00000X
License: LN87342 Issued in MA
Practice address: 29 Greendale Ave
Worcester, MA 01606-2229
Phone: (774) 253-0434
NPI assigned: Nov 25, 2022
Sex: Female
Sole proprietor: Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)	Code	License	State	Primary
Nursing Care Agency	251J00000X	LN87342	MA	Primary

Addresses

Primary practice location

29 Greendale Ave
Worcester, MA 01606-2229

Mailing address

29 Greendale Ave
Worcester, MA 01606-2229
Phone (774) 253-0434

Other identifiers 1

Identifier	Type	State	Issuer
000000	Medicaid	MA

Electronic endpoints 12

Type	Endpoint	Use
Direct Messaging Address	skasimbi@hotmail.com
Direct Messaging Address	skasimbi@hotmail.com
Direct Messaging Address	skasimbi@hotmail.com
CONNECT URL	email	Health Information Exchange (HIE)
CONNECT URL	skasimbi@hotmail.com
CONNECT URL	email	Health Information Exchange (HIE)
Direct Messaging Address	skasimbi@hotmail.com
CONNECT URL	laptop
CONNECT URL	laptop
Direct Messaging Address	skasimbi@hotmail.com
CONNECT URL	email	Health Information Exchange (HIE)
CONNECT URL	skasimbi@hotmail.com

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Not enrolled

State licenses

License	State	Type	Specialty
LN87342	MA	MD	Nursing Care Agency

Practice roles

Organization	Specialty	Status	New patients
B&S Healthcare Services and Transportation LLC		CurrentSince Mar 31, 2024	Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

B&S Healthcare Services and Transportation LLC
- Non-emergency Medical Transport (VAN)
- Worcester, MA
- NPI 1003666173
NPD

NPI Registry JSON

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1497465967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 GREENDALE AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062229",
            "telephone_number": "774-253-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 GREENDALE AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062229",
            "telephone_number": "774-253-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUJJUMBI",
        "first_name": "SUSAN",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-25",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MA",
            "license": "LN87342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skasimbi@hotmail.com",
            "affiliation": "N",
            "address_1": "29 Greendale Ave",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016062229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skasimbi@hotmail.com",
            "affiliation": "N",
            "address_1": "29 Greendale Ave",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016062229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skasimbi@hotmail.com",
            "affiliation": "N",
            "address_1": "29 Greendale Ave",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016062229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "29 Greendale Ave",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016062229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "skasimbi@hotmail.com",
            "affiliation": "N",
            "address_1": "29 Greendale Ave",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016062229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "29 Greendale Ave",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016062229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skasimbi@hotmail.com",
            "affiliation": "N",
            "address_1": "29 Greendale Ave",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016062229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "address_1": "29 Greendale Ave",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016062229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "address_1": "29 Greendale Ave",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016062229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skasimbi@hotmail.com",
            "affiliation": "N",
            "address_1": "29 Greendale Ave",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016062229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "29 Greendale Ave",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016062229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "skasimbi@hotmail.com",
            "affiliation": "N",
            "address_1": "29 Greendale Ave",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016062229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.