Community Home Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

CC330695 Issued in MA

Legal business name

COMMUNITY HOME HEALTHCARE

Practice address

75 Como Rd
Hyde Park, MA 02136-1904

Phone

(617) 953-5058

NPI assigned

Apr 25, 2017

Last updated

Apr 25, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Ann Tackie, RN, BSNNPI 1962741165

Title

Ceo

Phone

(617) 953-5058

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Ann Tackie, RN

  • Registered Nurse
  • Hyde Park, MA
  • NPI 1962741165
  NPD (past) Authorized official

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1619402864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 COMO RD",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021361904",
            "telephone_number": "617-953-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 COMO RD",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021361904",
            "telephone_number": "617-953-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "TACKIE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-953-5058",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "CC330695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Collins, PA-C
• Commonwealth Counseling Associates
• Commonwealth of Mass-DDS (Gba Harbor Area Office)
• Commonwealth of Mass-DDS (Gba Dorchester Fuller Area Office)
• Commonwealth of Massachusetts (DDS Greater Boston Area Office)
• Anthony Nicholas Compagnone Jr., MD
• Compasscare Solutions LLC
• Christopher Compoh
• Cynthia Cora
• Julie Coriolan

• Home Health Agency in Hyde Park, MA
• Providers in Hyde Park, 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 25, 2017; 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.