Athena Nursing Placement Joint Venture, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ATHENA NURSING PLACEMENT JOINT VENTURE, LLC

Practice address

10 Riverside Dr Ste 201
Lakeville, MA 02347-1689

Phone

(508) 673-5500

Fax

(508) 673-6500

NPI assigned

Mar 4, 2008

Organization subpart

Yes

Parent organization

ATHENA HEALTH CARE ASSOCIATES INCAs reported in NPPES

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

Authorized official

Name

Lawrence G. Santilli

Title

Manager

Phone

(860) 751-3900

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Athena Home Health of Massachusetts Doing business as

Part of

Athena Health Care Associates Inc

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erin Mary Blazek, MSPT

  • Physical Therapist
  • Fall River, MA
  • NPI 1124140967
  NPD (past)
• Dawn Lee Keller, PTA

  • Physical Therapy Assistant
  • Fall River, MA
  • NPI 1598144990
  NPD (past)
• Jonathan Joseph Vardo

  • Physical Therapy Assistant
  • Fall River, MA
  • NPI 1265824544
  NPD (past)

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1861662017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 RIVERSIDE DR STE 201",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471689",
            "telephone_number": "508-673-5500",
            "fax_number": "508-673-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RIVERSIDE DR STE 201",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471689",
            "telephone_number": "508-673-5500",
            "fax_number": "508-673-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA NURSING PLACEMENT JOINT VENTURE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHENA HEALTH CARE ASSOCIATES INC",
        "enumeration_date": "2008-03-04",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "SANTILLI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-751-3900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110130396A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athena Home Health of Massachusetts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sandra Araujo, FNP
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• Athena Hospice Services of Massachusetts, LLC
• Cindy Azevedo
• Sharonda Lashawn Bagwell, PMHNP-BC
• Meredith Beaton-Rubini, CPNP
• Lexie Beaudoin
• Christine Frances Bedard, R.N.

• All providers in Lakeville, MA
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.