Lydia Angels at Home LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LYDIA ANGELS AT HOME LLC

Practice address

287 Grove St, Building D
Suite 204, Room No. 275
Worcester, MA 01605-3905

Phone

(774) 329-6133

Fax

(978) 514-7222

NPI assigned

Jul 12, 2021

Organization subpart

No

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

Authorized official

Name

Lydia A MokoenaNPI 1558068064

Title

Owner

Phone

(774) 329-6133

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lydia Asso Mokoena

  • Licensed Practical Nurse
  • Leominster, MA
  • NPI 1558068064
  NPD Authorized official

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1740852573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 MECHANIC ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014534431",
            "telephone_number": "774-329-6133",
            "fax_number": "978-514-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 GROVE ST, BUILDING D",
            "address_2": "SUITE 204, ROOM NO. 275",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053905",
            "telephone_number": "774-329-6133",
            "fax_number": "978-514-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYDIA ANGELS AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "MOKOENA",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-329-6133"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Luzim
• Flavia Colletta Lwasa
• Susan Y. Ly, MD
• Drew Lydecker, MED
• Marlecia Lyder
• Omeche Idoko Lyell
• Carole C Lyman, NP
• Molly Lyman
• Alysia Lynch
• Andreanna Lynch, B.S., B.A.

• In Home Supportive Care Agency in Worcester, MA
• Providers in Worcester, MA by specialty
• In Home Supportive Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.