NPIMap

Organization Active NPI

Advanced Health Care Incorporated

  • Home Health Agency
  • Randolph, MA
National Provider Identifier
1629640677
Registry record updated Jul 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ADVANCED HEALTH CARE INCORPORATED
Practice address
1 North St
Randolph, MA 02368-4614
Phone
(781) 300-1495
NPI assigned
Jul 10, 2021
Last updated
Jul 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2021

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

Authorized official

Name
Lynda IkeoguNPI 1043073539
Title
Ceo
Phone
(781) 300-1495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1 North St
Randolph, MA 02368-4614

Mailing address

1 North St
Randolph, MA 02368-4614
Phone (781) 300-1495

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Randolph Direct

National Provider Directory

National Provider Directory

Locations

1 North St
Randolph, MA 02368
Phone (781) 300-1495

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1625875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625875200000",
    "number": "1629640677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NORTH ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684614",
            "telephone_number": "781-300-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NORTH ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684614",
            "telephone_number": "781-300-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-10",
        "last_updated": "2021-07-10",
        "certification_date": "2021-07-10",
        "status": "A",
        "authorized_official_last_name": "IKEOGU",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-300-1495"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Randolph",
            "affiliation": "N",
            "endpointDescription": "web",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 North St",
            "city": "Randolph",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023684614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2021; 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.