Albacare Home Health Services LLC
Organization Active NPI Home Health Agency · Holden, MA
NPI 1558001073 · NPPES record last updated Mar 31, 2022
Key facts
- NPI
- 1558001073
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- ALBACARE HOME HEALTH SERVICES LLC
- Practice address
- 71 Cranbrook Dr
Holden, MA 01520-1474 - Phone
- (774) 641-8538
- NPI assigned
- Mar 31, 2022
- Organization subpart
- No
Authorized official
- Name
- Julian Qirko
- Title
- Owner/President
- Phone
- (774) 641-8538
Medicare Care Compare: Home health agency
- Listed as
- Albacare Home Health Services LLC
- Ownership
- -
- Certified
- Aug 1, 2023
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2277903 | Albacare Home Health Services LLC | Certificate of waiver | Mar 6, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Home health agency certification: CCN 227766
- Legal name
- ALBACARE HOME HEALTH SERVICES LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 1, 2023
- Last certification
- Jul 7, 2023
- Organization structure
- LLC · Proprietary
- Incorporated
- Mar 30, 2022 in MA
- Enrollment address
- 71 Cranbrook Dr
Holden, MA 01520-1474
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Julian Qirko |
5% Or Greater Direct Ownership Interest | Mar 30, 2022 | 100% |
| Corporate Officer |
Mar 30, 2022 | 100% | |
| Corporate Director |
Mar 30, 2022 | 100% | |
| W-2 Managing Employee |
Mar 30, 2022 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220624001114 | MA | Part a Provider - Home Health Agency | 1850770629 | Practice locations: Holden, MA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
71 Cranbrook Dr
Holden, MA 01520-1474
Mailing address
71 Cranbrook Dr
Holden, MA 01520-1474
Phone (774) 641-8538
Other providers in Holden, MA
- Kimberly J Adamson
- Priscilla Addai Owusu
- Franklin Akrofi Adodoadji
- Affiliated Podiatrists PC
- Felicia A Ahearn
- Asjad Mahmood Ali
- Courtney Lynn Allain Paul
- Thomas J Allen Jr.
- Alpha Homecare Services LLC
- Amiee Caruso Cags MSN Pmhnp-BC
All providers in Holden, MA · Home Health Agency in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.