NPIMap

Organization Active NPI

Wonderstar Healthcare Inc.

  • Home Health Agency
  • Randolph, MA
National Provider Identifier
1790392553
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WONDERSTAR HEALTHCARE INC.
Practice address
89 N Main St Ste B
Randolph, MA 02368-4605
Phone
(781) 986-5999
NPI assigned
Sep 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Authorized official

Name
Kendrick Mentee
Title
Owner/President
Phone
(781) 986-5999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

89 N Main St Ste B
Randolph, MA 02368-4605

Mailing address

89 N Main St Ste B
Randolph, MA 02368-4605
Phone (781) 986-5999

National Provider Directory

National Provider Directory

Locations

89 N Main St
#B
Randolph, MA 02368
Phone (781) 986-5999

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1790392553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 N MAIN ST STE B",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684605",
            "telephone_number": "781-986-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 N MAIN ST STE B",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684605",
            "telephone_number": "781-986-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERSTAR HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "MENTEE",
        "authorized_official_first_name": "KENDRICK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "781-986-5999"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.