Professional Medical Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

8257 Issued in MA

Legal business name

PROFESSIONAL MEDICAL HOMECARE LLC

Practice address

265 S Westfield St
Feeding Hills, MA 01030-2713

Phone

(413) 858-4506

Fax

(413) 858-4508

NPI assigned

Aug 13, 2013

Organization subpart

No

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

Authorized official

Name

Donna Marie Bys, MSN,MPA,RN,LNHA

Title

Ceo

Phone

(413) 858-4506

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Home health agency certification: CCN 227685

Legal name

PROFESSIONAL MEDICAL HOMECARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 6, 2016

Last certification

Oct 6, 2016

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jul 11, 2013 in MA

Enrollment address

361 Neponset Ave
Dorchester, MA 02122-3103
HHA Branch

Listed as

Professional Medical Homecare LLCCCN 227685 · All quality measures

Ownership

Proprietary

Certified

Oct 6, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Professional Medical Homecare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Professional Medical Home Care, LLC

  • Home Health Agency
  • West Springfield, MA
  • NPI 1285092031
  NPD tax ID

Locations

All disclosed owners & managing parties 2

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gloria C Igbokwe, RN

  • Home Health Registered Nurse
  • Dorchester, MA
  • NPI 1396962098
  NPD (past)

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1558794560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 S WESTFIELD ST",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "010302713",
            "telephone_number": "413-858-4506",
            "fax_number": "413-858-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 S WESTFIELD ST",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "010302713",
            "telephone_number": "413-858-4506",
            "fax_number": "413-858-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "BYS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "413-858-4506",
        "authorized_official_credential": "MSN,MPA,RN,LNHA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "8257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald A Pahl Jr., DMD
• Cynthia Jean Parisien, RN
• Asha Patel
• Savanna Kayce Jade Pierce
• Susan M Plourde, DMD
• Professional Medical Services, Inc
• Kiomara Nicole Reynoso
• Danielle Marie Riley, NP
• Jetsabeth Marie Rodriguez
• Jasmaly Marie Rosado

• Home Health Agency in Feeding Hills, MA
• Providers in Feeding Hills, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.

Verify at the official NPI Registry.