City Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CITY HOME CARE, LLC

Practice address

425 Lake Ave N Ste 102
Worcester, MA 01605-2073

Phone

(617) 964-2489

Fax

(617) 964-2496

NPI assigned

Jul 28, 2015

Organization subpart

No

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

Authorized official

Name

Boris Lipskiy

Title

Program Director

Phone

(617) 964-2489

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• city home care, LLC GAFC Other name

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

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

  • Home Health Agency
  • Newton Upper Falls, MA
  • NPI 1710306329
  NPD tax ID

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1750766044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LAKE AVE N STE 102",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052073",
            "telephone_number": "617-964-2489",
            "fax_number": "617-964-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 LAKE AVE N STE 102",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052073",
            "telephone_number": "617-964-2489",
            "fax_number": "617-964-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "LIPSKIY",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "617-964-2489"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110092840B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "city home care, LLC GAFC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert A Ciottone, PHD
• Michael Cirillo, PH.D.
• Eric Cirino, M.D.
• Ronald Citarella
• City Home Care, LLC
• City of Worcester
• City of Worcester
• Claim Path Massachusetts, LLC
• Amanda Jane-Bean Clancey, NP
• Christopher Kevin Clancy, D.M.D

• 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 Aug 29, 2024; 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.