Active NPI
Mindset Homecare LLC
- Home Health Agency
- Woburn, MA
National Provider Identifier
1811512825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MINDSET HOMECARE LLC
- Doing business as
- Mindset Home care LLC
- Practice address
- 7 Totman Dr Apt 9
Woburn, MA 01801-5455 - Phone
- (508) 292-9428
- NPI assigned
- Jun 15, 2020
- Organization subpart
- Yes
- Parent organization
- MINDSET HOME CARE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cissy Nakanwagi, RN
- Title
- Manager
- Phone
- (508) 292-9428
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
7 Totman Dr Apt 9
Woburn, MA 01801-5455
Mailing address
PO Box 2072
Woburn, MA 01888-0172
Phone (508) 292-9428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235060 | Other | MA | RN LICENSE |
Other names 1
- Mindset Home care LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | webroot | Health Information Exchange (HIE) |
National Provider Directory
National Provider Directory- Part of
- Mindset Homecare LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592179200000",
"number": "1811512825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2072",
"city": "WOBURN",
"state": "MA",
"postal_code": "018880172",
"telephone_number": "508-292-9428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 TOTMAN DR APT 9",
"city": "WOBURN",
"state": "MA",
"postal_code": "018015455",
"telephone_number": "508-292-9428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDSET HOMECARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MINDSET HOME CARE LLC",
"enumeration_date": "2020-06-15",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A",
"authorized_official_last_name": "NAKANWAGI",
"authorized_official_first_name": "CISSY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "508-292-9428",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "235060",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "webroot",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7 Totman Dr Apt 9",
"city": "Woburn",
"state": "MA",
"country_code": "US",
"postal_code": "018015455",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Mindset Home care LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.