Life Quality Home Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFE QUALITY HOME SERVICES, LLC

Practice address

1819 Central St Ste 1F
Stoughton, MA 02072-1445

Phone

(781) 436-8314

NPI assigned

Aug 18, 2020

Organization subpart

No

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

Authorized official

Name

Ancelet Joseph

Title

Owner/Ceo

Phone

(774) 381-2653

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Home health agency certification: CCN 227756

Legal name

LIFE QUALITY HOME SERVICES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 2, 2022

Last certification

Feb 2, 2022

Organization structure

LLCProprietary

Incorporated

Apr 24, 2018 in MA

Enrollment address

1819 Central St
Ste 1F
Stoughton, MA 02072-1445

Listed as

Life Quality Home Services LLCCCN 227756

Ownership

-

Certified

Feb 2, 2022

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 3

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

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1720690134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 CENTRAL ST STE 1F",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020721445",
            "telephone_number": "781-436-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 CENTRAL ST STE 1F",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020721445",
            "telephone_number": "781-436-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE QUALITY HOME SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "ANCELET",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "774-381-2653"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Lewis, PSY.D.
• Mitchell Liberman, PT, DPT
• Valerie Liberman
• Jannett Liburd, LCSW
• Life Quality Home Services
• Laura C Lima, N.P.
• Henry Lin, M.D.
• Susan Lin, M.D.
• Santia Lindor-Blanc
• Vicky Liu, PHARMD

• Home Health Agency in Stoughton, MA
• Providers in Stoughton, 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 Aug 18, 2020; 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.