City Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

110092840B Issued in MA

Legal business name

CITY HOME CARE, LLC

Practice address

90 Oak St
Suite 402
Newton Upper Falls, MA 02464-1439

Phone

(617) 964-2489

NPI assigned

Apr 10, 2014

Organization subpart

No

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

Authorized official

Name

Mr. I Shargorodskiy

Title

Owner

Phone

(617) 823-3090

Specialties & licenses 1

Addresses

Other identifiers 1

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

  dba Loyal Home Care Services

  • Home Health Agency
  • Worcester, MA
  • NPI 1679875918
  NPD tax ID
• City Home Care, LLC

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

Locations

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1710306329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 OAK ST",
            "address_2": "SUITE 402",
            "city": "NEWTON UPPER FALLS",
            "state": "MA",
            "postal_code": "024641439",
            "telephone_number": "617-964-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 OAK ST",
            "address_2": "SUITE 402",
            "city": "NEWTON UPPER FALLS",
            "state": "MA",
            "postal_code": "024641439",
            "telephone_number": "617-964-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "SHARGORODSKIY",
        "authorized_official_first_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-823-3090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "110092840B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110092840B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Brooks
• Julie Ann Burke, D.C.
• Nicolette Loren Burnes
• Carole Calderon
• Molly Carroll, PMHNP-BC
• Rebecca Cobb
• Barbara Dallin, LMHC, ATR
• Robin Dawkins, M.A.
• Paul Anthony Ezzy, MA
• Mark G Fanger, ED.D.

• Home Health Agency in Newton Upper Falls, MA
• Providers in Newton Upper Falls, 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 Apr 10, 2014; 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.