Ez Healthcare of Boston Group, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

T608 Issued in MA

Legal business name

EZ HEALTHCARE OF BOSTON GROUP, INC

Practice address

85 Alexander St
Dorchester, MA 02125-2727

Phone

(617) 947-3311

Fax

(617) 442-0377

NPI assigned

May 27, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Cuthbert Ivan Mayers, RN,BSN,MBA

Title

Ceo

Phone

(617) 947-3311

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Home health agency certification: CCN 227548

Legal name

EZ HEALTHCARE OF BOSTON GROUP, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 14, 2012

Last certification

Mar 30, 2015

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 28, 2007 in MA

Enrollment address

73 Cedar St
Roxbury, MA 02119-3740
HHA Branch

Listed as

Ez Healthcare of Boston Group IncCCN 227548

Ownership

Proprietary

Certified

Mar 14, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1831482504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 CEDAR STREET",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191428",
            "telephone_number": "617-433-2993",
            "fax_number": "617-442-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 ALEXANDER ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021252727",
            "telephone_number": "617-947-3311",
            "fax_number": "617-442-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ HEALTHCARE OF BOSTON GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "MAYERS",
        "authorized_official_first_name": "CUTHBERT",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-947-3311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN,BSN,MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "8009",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "T608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.

Verify at the official NPI Registry.