Organization Active NPI

Hiis Home Healthcare LLC

  • Home Health Agency
  • Boston, MA
National Provider Identifier
1548082043
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HIIS HOME HEALTHCARE LLC
Practice address
361 Newbury St, FL 3,4,5
Boston, MA 02115-2727
Phone
(617) 642-2369
NPI assigned
Oct 28, 2024
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Amin Abdi
Title
Owner
Phone
(617) 642-2369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

361 Newbury St, FL 3,4,5
Boston, MA 02115-2727

Mailing address

361 Newbury St, FL 3,4,5
Boston, MA 02115-2727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250312003205 MA Part A Provider - Home Health Agency 5597286021 Practice locations: Boston, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548082043. Details of each certification follow.

Home health agency certification: CCN 227815

Legal name
HIIS HOME HEALTHCARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 29, 2026
Last certification
Jan 8, 2026
Organization structure
LLCProprietary
Enrollment address
361 Newbury St
FL 3,4,5
Boston, MA 02115

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
22D2317891Hiis Home Healthcare LLC361 Newbury St Floor 3-5, Boston, MA 02115Certificate of waiverFeb 2, 2027

National Provider Directory

National Provider Directory

Locations

361 Newbury St
Fl 345
Boston, MA 02115
Phone (617) 642-2369

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Amine Chajar Individual Corporate DirectorVice President Oct 17, 2024 25%
Hibak Hussein Individual Corporate DirectorSecretary Oct 17, 2024 25%
Amin Abdi Individual 5% Or Greater Direct Ownership InterestOwner Oct 17, 2024 100%
Corporate DirectorTreasurer Oct 17, 2024 25%
W-2 Managing EmployeeAd; Oct 17, 2024 100%
Mohamed Butt Individual Corporate DirectorPresident Oct 17, 2024 25%

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1548082043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 NEWBURY ST, FL 3,4,5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021152727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 NEWBURY ST, FL 3,4,5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021152727",
            "telephone_number": "617-642-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIIS HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "AMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-642-2369"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.