Organization Active NPI

Proxima Healthcare Agency LLC

  • Home Health Agency
  • Wilmington, MA
National Provider Identifier
1790640472
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROXIMA HEALTHCARE AGENCY LLC
Practice address
107 Glen Rd
Wilmington, MA 01887-3537
Phone
(781) 513-0604
NPI assigned
Dec 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Blain Simeon
Title
Manager
Phone
(781) 513-0604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

107 Glen Rd
Wilmington, MA 01887-3537

Mailing address

107 Glen Rd
Wilmington, MA 01887-3537
Phone (781) 513-0604

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1790640472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GLEN RD",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873537",
            "telephone_number": "781-513-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GLEN RD",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873537",
            "telephone_number": "781-513-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROXIMA HEALTHCARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-16",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "SIMEON",
        "authorized_official_first_name": "BLAIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "781-513-0604"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.