Mavencare (Ma) Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAVENCARE (MA) INC.

Practice address

745 Atlantic Ave Ste 209
Boston, MA 02111-2735

Phone

(617) 286-8121

NPI assigned

Feb 27, 2019

Organization subpart

Yes

Parent organization

MAVENCARE (US) INC.As reported in NPPES

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

Authorized official

Name

Nukul Bhasin

Title

President

Phone

(416) 508-3157

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1669939518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 ATLANTIC AVE STE 209",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021112735",
            "telephone_number": "617-286-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 ATLANTIC AVE STE 209",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021112735",
            "telephone_number": "617-286-8121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Union St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Lynn",
            "state": "MA",
            "postal_code": "019011348",
            "country_code": "US",
            "telephone_number": "617-286-8121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAVENCARE (MA) INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAVENCARE (US) INC.",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "BHASIN",
        "authorized_official_first_name": "NUKUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "416-508-3157"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Mauro-Small, MD
• Christine Rebecca Mauro, M.D.
• Eduardo Antonio Maury, MD, PHD
• Douglas Maus, MD, PHD
• Sangeeta S Mauskar, MD, MPH
• Maverick Landing Community Services
• Maverick SQ Optical
• Saverio Mark Maviglia, MD MS
• Kathleen Elizabeth Mavrogiannis, CPNP-PC/AC
• Nikolaos Mavrogiorgos, M.D.

• Home Health Agency in Boston, MA
• Providers in Boston, 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 Feb 27, 2019; 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.