NPIMap

Organization Active NPI

Patriach Group LLC

Doing business as Metro Boston Home Care

  • Home Health Agency
  • Somerville, MA
National Provider Identifier
1699303321
Registry record updated Mar 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PATRIACH GROUP LLC
Doing business as
Metro Boston Home Care
Practice address
31 Union SQ
Somerville, MA 02143-3033
Phone
(617) 372-3409
NPI assigned
Mar 29, 2020
Last updated
Mar 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2020

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

Authorized official

Name
Joseph TebandekeNPI 1427686146
Title
Manager
Phone
(617) 372-3409

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 NU Primary

Addresses

Primary practice location

31 Union SQ
Somerville, MA 02143-3033

Mailing address

31 Union SQ
Somerville, MA 02143-3033

Other names 1

  • Metro Boston Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

31 Union Sq
Somerville, MA 02143
Phone (617) 372-3409

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": "1585440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585440000000",
    "number": "1699303321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 UNION SQ",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 UNION SQ",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433033",
            "telephone_number": "617-372-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIACH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-29",
        "last_updated": "2020-03-29",
        "certification_date": "2020-03-29",
        "status": "A",
        "authorized_official_last_name": "TEBANDEKE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-372-3409"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Boston Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2020; 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.