El Shaddai Healthcare Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EL SHADDAI HEALTHCARE INC

Practice address

119 Robbins St
Waltham, MA 02453-5102

Phone

(617) 819-7419

NPI assigned

Sep 1, 2021

Organization subpart

No

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

Authorized official

Name

Amos Jean Philippe

Title

President

Phone

(617) 816-7419

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1710655071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 ROBBINS ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535102",
            "telephone_number": "617-819-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 ROBBINS ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535102",
            "telephone_number": "617-819-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL SHADDAI HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "JEAN PHILIPPE",
        "authorized_official_first_name": "AMOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-816-7419"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha D Edwards, FNP
• Rachel Drummey Egan, RN, PMHNP-BC
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• Home Health Agency in Waltham, MA
• Providers in Waltham, 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 Nov 2, 2021; 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.