Organization Active NPI

Gifted Heart Home Care LLC

  • Home Health Agency
  • North Chelmsford, MA
National Provider Identifier
1497535538
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GIFTED HEART HOME CARE LLC
Practice address
55 Middlesex St Unit 5
North Chelmsford, MA 01863-1569
Phone
(978) 761-7946
NPI assigned
Oct 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Eric Muchina
Title
Ceo
Phone
(978) 761-7946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

55 Middlesex St Unit 5
North Chelmsford, MA 01863-1569

Mailing address

55 Middlesex St Unit 5
North Chelmsford, MA 01863-1569
Phone (978) 761-7946

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231205000271 MA Part A Provider - Home Health Agency 6002264744 Practice locations: North Chelmsford, MA

Home health agency certification: CCN 227790

Legal name
GIFTED HEART HOME CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 16, 2024
Last certification
Oct 16, 2024
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 26, 2023 in MA
Enrollment address
55 Middlesex St
Unit 5
North Chelmsford, MA 01863-1569

Care Compare: Home health agency

Medicare Care Compare
Listed as
Gifted Heart Home Care LLCCCN 227790
Ownership
Proprietary
Certified
Oct 16, 2024
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, 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
22D2297413Gifted Heart Home Care LLC55 Middlesex St, North Chelmsford, MA 01863Certificate of waiverJan 15, 2028

National Provider Directory

National Provider Directory

Locations

55 Middlesex St
Unit 5
North Chelmsford, MA 01863
Phone (978) 761-7946

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
Eric Muchina Individual 5% Or Greater Direct Ownership Interest Sep 26, 2023 100%
Corporate DirectorCeo Sep 26, 2023 100%
W-2 Managing EmployeeCeo Sep 26, 2023 100%

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1497535538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MIDDLESEX ST UNIT 5",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631569",
            "telephone_number": "978-761-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MIDDLESEX ST UNIT 5",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631569",
            "telephone_number": "978-761-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED HEART HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "MUCHINA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-761-7946"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.