NPIMap

Organization Active NPI

Epic Healthcare Solutions LLC

  • Home Health Agency
  • Waltham, MA
National Provider Identifier
1841604493
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EPIC HEALTHCARE SOLUTIONS LLC
Practice address
32 South St
Suite # 301 B
Waltham, MA 02453-3594
Phone
(781) 325-3905
NPI assigned
Jun 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Mr. Herbert K Ddungu, NP
Title
Coo
Phone
(781) 325-3905

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X
Home Health Agency 251E00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

32 South St
Suite # 301 B
Waltham, MA 02453-3594

Mailing address

32 South St
Suite # 301 B
Waltham, MA 02453-3594
Phone (781) 325-3905

National Provider Directory

National Provider Directory

Locations

32 South St
Ste 301B
Waltham, MA 02453
Phone (781) 325-3905

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1841604493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SOUTH ST",
            "address_2": "SUITE # 301 B",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533594",
            "telephone_number": "781-325-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SOUTH ST",
            "address_2": "SUITE # 301 B",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533594",
            "telephone_number": "781-325-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC HEALTHCARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "DDUNGU",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "781-325-3905",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.