Individual provider Active NPI

Joseph M. Waweru, CEO

  • Licensed Practical Nurse
  • Nashua, NH
National Provider Identifier
1780205922
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
013217-22 Issued in NH
Practice address
1 Chestnut St Ste 201
Nashua, NH 03060-9302
Phone
(603) 943-4105
NPI assigned
Apr 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 013217-22 NH Primary

Addresses

Primary practice location

1 Chestnut St Ste 201
Nashua, NH 03060-9302

Mailing address

1 Chestnut St Ste 201
Nashua, NH 03060-9302
Phone (603) 943-4105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
013217-22NHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Affectionate Home Health Care Agency LLC CurrentSince May 3, 2020 Accepting new patients

Locations

1 Chestnut St
Ste 201
Nashua, NH 03060
Phone (603) 377-0019

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1780205922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHESTNUT ST STE 201",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030609302",
            "telephone_number": "603-943-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHESTNUT ST STE 201",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030609302",
            "telephone_number": "603-943-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAWERU",
        "first_name": "JOSEPH",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "CEO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NH",
            "license": "013217-22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.