NPIMap

Organization Active NPI

Suburban Home Health Care Inc

  • Home Health Agency
  • Boston, MA
National Provider Identifier
1679573281
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUBURBAN HOME HEALTH CARE INC
Practice address
1050 Commonwealth Ave
Boston, MA 02215-1109
Phone
(617) 264-7100
Fax
(617) 264-7188
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Michael J Roper
Title
President
Phone
(617) 264-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1050 Commonwealth Ave
Boston, MA 02215-1109

Mailing address

1050 Commonwealth Ave
Boston, MA 02215-1109
Phone (617) 264-7100

Other identifiers 2

IdentifierTypeStateIssuer
0605719MedicaidMA
110024413AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100302000370 MA Part A Provider - Home Health Agency 4688613078 Practice locations: Boston, MA

Home health agency certification: CCN 227290

Legal name
SUBURBAN HOME HEALTH CARE INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 1, 1994
Last certification
Jun 11, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 8, 1982 in MA
Enrollment address
1050 Commonwealth Ave
Ste 300
Boston, MA 02215-1109
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Suburban Home Health Care, IncCCN 227290
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Apr 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
James Marra Individual Corporate OfficerChief Compliance Officer Jan 4, 2016
The Roper Family Irrevocable Trust III Organization, Brookline Village, MA 5% Or Greater Direct Ownership Interest Jun 1, 2016 100%
Paula J Mahoney Individual Corporate OfficerChief Financial Officer Jan 4, 2016
Kristen M Speary Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2016 33.33%
Michael J Roper Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2016 33.33%
Corporate OfficerPresident Apr 1, 2016
Corporate DirectorDirector Apr 1, 2016 50%
W-2 Managing EmployeePresident, Director Apr 1, 2016
Operational/Managerial ControlPresident, Director Apr 1, 2016
Stephen M Roper Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2016 33.33%

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1679573281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 COMMONWEALTH AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151109",
            "telephone_number": "617-264-7100",
            "fax_number": "617-264-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 COMMONWEALTH AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151109",
            "telephone_number": "617-264-7100",
            "fax_number": "617-264-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "ROPER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-264-7100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0605719",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110024413A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.