City Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CITY HOME CARE, LLC

Doing business as

Loyal Home Care Services

Practice address

425 Lake Ave N Ste 102
Worcester, MA 01605-2073

Phone

(617) 964-2489

Fax

(617) 964-2490

NPI assigned

Nov 18, 2010

Organization subpart

No

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

Authorized official

Name

Boris Lipskiy

Title

Administrator

Phone

(617) 964-2489

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Loyal Home Care Services Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Home health agency certification: CCN 227543

Legal name

CITY HOME CARE, LLC

Doing business as

LOYAL HOME CARE SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 6, 2012

Last certification

Jan 7, 2012

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Oct 21, 2010 in MA

Enrollment address

425 Lake Ave N
Ste 102
Worcester, MA 01605-2047
HHA Branch

Listed as

Loyal Home Care ServicesCCN 227543

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Jan 6, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Tax ID family

City Home Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• City Home Care, LLC

  • Home Health Agency
  • Newton Upper Falls, MA
  • NPI 1710306329
  NPD tax ID
• City Home Care, LLC

  • In Home Supportive Care Agency
  • Worcester, MA
  • NPI 1750766044
  NPD tax ID

Locations

All disclosed owners & managing parties 10

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

Affiliated clinicians 1

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

• Samuel Boateng, CRNP

  • Family Nurse Practitioner
  • Pittsfield, MA
  • NPI 1790162527

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1679875918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LAKE AVE N STE 102",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052073",
            "telephone_number": "617-964-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 LAKE AVE N STE 102",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052073",
            "telephone_number": "617-964-2489",
            "fax_number": "617-964-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2024-07-18",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "LIPSKIY",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "617-964-2489"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110092840G",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Worcester",
            "affiliation": "N",
            "address_1": "425 Lake Ave N Ste 102",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016052073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Loyal Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Loyal Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Francis Ciolino, PA-C
• Robert A Ciottone, PHD
• Michael Cirillo, PH.D.
• Eric Cirino, M.D.
• Ronald Citarella
• City Home Care, LLC
• City of Worcester
• City of Worcester
• Claim Path Massachusetts, LLC
• Amanda Jane-Bean Clancey, NP

• Home Health Agency in Worcester, MA
• Providers in Worcester, 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 Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.