Boston Home Health Aides LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BOSTON HOME HEALTH AIDES LLC

Doing business as

Boston Home Health Aides LLC

Practice address

1 Union Street
Lawrence, MA 01840-1835

Phone

(617) 264-0200

Fax

(617) 264-0610

NPI assigned

Jan 5, 2010

Last updated

Sep 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mohamed Jama, CEO

Title

President

Phone

(617) 264-0200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Boston Home Health Aides LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841520368. Details of each certification follow.

• CCN 227524 Home health agency · Active · Details

Home health agency certification: CCN 227524

Legal name

BOSTON HOME HEALTH AIDES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 7, 2010

Last certification

Oct 7, 2010

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jan 4, 2010 in MA

Enrollment address

1 Union St
Ste 1000
Lawrence, MA 01840-1815
HHA Branch

Listed as

Boston Home Health Aides, LLCCCN 227524 · All quality measures

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Oct 7, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

Locations

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Lauren Carnes, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Woburn, MA
  • NPI 1699547075

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• Tricia V Murray, RPT

  • Physical Therapist
  • Salem, NH
  • NPI 1710936356
  NPD (past)

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1841520368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNION STREET",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401835",
            "telephone_number": "617-264-0200",
            "fax_number": "617-264-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNION STREET",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401835",
            "telephone_number": "617-264-0200",
            "fax_number": "617-264-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON HOME HEALTH AIDES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-264-0200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110088132A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boston Home Health Aides LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suhani Bora, MD
• Damarys Bordonaro, LMHC
• Wendy Lee Borrelli, ARNP
• Amy Bositis
• Boston Health Recovery Services, Inc
• Boston Laser Cornea Center (Boston Eye Group)
• Boston Laser Network One, LLC (Boston Laser Eye Institute PC)
• Boston Laser Surgery Center LLC
• Boston Mantra LLC
• Boston Vision Network One-Lawrence LLC

• Home Health Agency in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.