Active NPI
At Home Senior Care, Inc.
- Home Health Agency
- Newton, MA
National Provider Identifier
1497988190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AT HOME SENIOR CARE, INC.
- Practice address
- 36 Jaconnet St Ste 104
Newton, MA 02461-1900 - Phone
- (617) 663-4881
- Fax
- (888) 580-6161
- NPI assigned
- Aug 27, 2009
- Last updated
- Dec 17, 2021
- 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
- Olga Vaserman
- Title
- President
- Phone
- (617) 663-4881
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
36 Jaconnet St Ste 104
Newton, MA 02461-1900
Mailing address
36 Jaconnet St Ste 104
Newton, MA 02461-1900
Phone (617) 663-4881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111109000496 | MA | Part A Provider - Home Health Agency | 9537207360 | Practice locations: Newton, MA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1497988190. Details of each certification follow.
Home health agency certification: CCN 227536
- Legal name
- AT HOME SENIOR CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 3, 2011
- Last certification
- Jun 3, 2011
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Aug 25, 2009 in MA
- Enrollment address
- 36 Jaconnet St
# 104
Newton, MA 02461-1900
Care Compare: Home health agency
Medicare Care Compare- Listed as
- At Home Senior Care, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 3, 2011
- 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 |
|---|---|---|---|
| 22D2015435 | At Home Senior Care, Inc | Certificate of waiver | Oct 26, 2026 |
National Provider Directory
National Provider DirectoryLocations
275 Grove St
Ste 4017
Auburndale, MA 02466
36 Jaconnet St
Ste 104
Newton, MA 02461
Phone (617) 663-4881
36 Jaconnet St
#104
Newton Highlands, MA 02461
Phone (617) 663-4881
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Olga Vaserman | 5% Or Greater Direct Ownership Interest | Jul 2, 2013 | 100% |
| 5% Or Greater Indirect Ownership Interest | Jul 2, 2013 | 100% | |
| 5% Or Greater Security Interest | Jul 2, 2013 | 100% | |
| Irine Arsanov | W-2 Managing Employee | Jan 15, 2024 | |
| Yana Borozenets | W-2 Managing Employee | May 1, 2017 |
Practitioners & affiliated clinicians
Affiliated clinicians 9
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1669535340
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639699200000",
"number": "1497988190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 JACONNET ST STE 104",
"city": "NEWTON",
"state": "MA",
"postal_code": "024611900",
"telephone_number": "617-663-4881",
"fax_number": "888-580-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 JACONNET ST STE 104",
"city": "NEWTON",
"state": "MA",
"postal_code": "024611900",
"telephone_number": "617-663-4881",
"fax_number": "888-580-6161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AT HOME SENIOR CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-27",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A",
"authorized_official_last_name": "VASERMAN",
"authorized_official_first_name": "OLGA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-663-4881"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.