Organization Active NPI

Lifewatch Home Care Inc

  • Home Health Agency
  • Hyde Park, MA
National Provider Identifier
1760867188
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIFEWATCH HOME CARE INC
Practice address
1210 Hyde Park Ave Ste 2
Hyde Park, MA 02136-2800
Phone
(617) 910-9204
Fax
(617) 333-9758
NPI assigned
Jul 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Raphael Chukwugaekwu Okoye
Title
President
Phone
(617) 910-9204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1210 Hyde Park Ave Ste 2
Hyde Park, MA 02136-2800

Mailing address

1210 Hyde Park Ave Ste 2
Hyde Park, MA 02136-2800
Phone (617) 910-9204

National Provider Directory

National Provider Directory

Locations

1210 Hyde Park Ave
Ste 2
Hyde Park, MA 02136
Phone (617) 910-9204

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1760867188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 HYDE PARK AVE STE 2",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362800",
            "telephone_number": "617-910-9204",
            "fax_number": "617-333-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 HYDE PARK AVE STE 2",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362800",
            "telephone_number": "617-910-9204",
            "fax_number": "617-333-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWATCH HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "OKOYE",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_middle_name": "CHUKWUGAEKWU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-910-9204"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.