Active NPI
Acclaim Home Health Care, Inc
- Home Health Agency
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ACCLAIM HOME HEALTH CARE, INC
- Practice address
- 120 Stafford St
Suite 206
Worcester, MA 01603-1457 - Phone
- (508) 459-6937
- Fax
- (508) 459-4154
- NPI assigned
- May 28, 2006
- Last updated
- Mar 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Chizoma L Nosike, RPT, MBA(HCA)
- Title
- President
- Phone
- (508) 459-6937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
120 Stafford St
Suite 206
Worcester, MA 01603-1457
Mailing address
120 Stafford St
Suite 206
Worcester, MA 01603-1457
Phone (508) 459-6937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060214000280 | MA | Part A Provider - Home Health Agency | 5799790663 | Practice locations: Worcester, MA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1801843495. Details of each certification follow.
Home health agency certification: CCN 227491
- Legal name
- ACCLAIM HOME HEALTH CARE, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 11, 2006
- Last certification
- Apr 6, 2017
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Dec 20, 2005 in MA
- Enrollment address
- 1241 Main St
Worcester, MA 01603
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Acclaim Home Health Care, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jul 11, 2006
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
120 Stafford St
Ste 206
Worcester, MA 01603
Phone (508) 459-6937
1241 Main St
Worcester, MA 01603
Phone (508) 752-6649
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ramazi Gotsiridze | 5% Or Greater Direct Ownership Interest | Jul 3, 2023 | 100% |
| Corporate Director | Jul 3, 2023 | ||
| W-2 Managing Employee | Jul 3, 2023 | ||
| Roseann Schantz | Corporate Officer | Jul 3, 2023 | 20% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Nurse
- Staten Island, NY
- NPI 1528368032
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1104029826
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427068800000",
"number": "1801843495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 STAFFORD ST",
"address_2": "SUITE 206",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016031457",
"telephone_number": "508-459-6937",
"fax_number": "508-459-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 STAFFORD ST",
"address_2": "SUITE 206",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016031457",
"telephone_number": "508-459-6937",
"fax_number": "508-459-4154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCLAIM HOME HEALTH CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2015-03-23",
"status": "A",
"authorized_official_last_name": "NOSIKE",
"authorized_official_first_name": "CHIZOMA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-459-6937",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RPT, MBA(HCA)"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.