Active NPI
Gifted Heart Home Care LLC
- Home Health Agency
- North Chelmsford, MA
National Provider Identifier
1497535538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- Proprietary
- Certified
- Oct 16, 2024
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2297413 | Gifted Heart Home Care LLC | Certificate of waiver | Jan 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Eric Muchina | 5% Or Greater Direct Ownership Interest | Sep 26, 2023 | 100% |
| Corporate Director | Sep 26, 2023 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.