NPIMap

Organization Active NPI

Qualicare Health, LLC

  • Home Health Agency
  • Woburn, MA
National Provider Identifier
1568837318
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
RN2263091 Issued in MA
Legal business name
QUALICARE HEALTH, LLC
Practice address
400 W Cummings Park
Suite 3715
Woburn, MA 01801-6519
Phone
(781) 281-0097
Fax
(781) 281-1674
NPI assigned
Dec 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Mr. Edward F Ssentongo, MBA
Title
Director of Finance and Admin
Phone
(781) 475-8262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X RN2263091 MA Primary

Addresses

Primary practice location

400 W Cummings Park
Suite 3715
Woburn, MA 01801-6519

Mailing address

400 W Cummings Park
Suite 3715
Woburn, MA 01801-6519
Phone (781) 281-0097

National Provider Directory

National Provider Directory

Locations

400 W Cummings Park
Ste 3715
Woburn, MA 01801
Phone (781) 281-0097

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1568837318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W CUMMINGS PARK",
            "address_2": "SUITE 3715",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016519",
            "telephone_number": "781-281-0097",
            "fax_number": "781-281-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CUMMINGS PARK",
            "address_2": "SUITE 3715",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016519",
            "telephone_number": "781-281-0097",
            "fax_number": "781-281-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALICARE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "SSENTONGO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE AND ADMIN",
        "authorized_official_telephone_number": "781-475-8262",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "RN2263091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.