Family Caregivers

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

FAMILY CAREGIVERS

Practice address

891 Centre St
Jamaica Plain, MA 02130-2776

Phone

(617) 477-8290

Fax

(617) 477-8292

NPI assigned

Jan 28, 2013

Organization subpart

Yes

Parent organization

GUARDIAN HEALTHCAREAs reported in NPPES

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

Authorized official

Name

Jose A De la Rosa

Title

Ceo

Phone

(617) 477-8290

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Home health agency certification: CCN 227516

Legal name

GUARDIAN HEALTHCARE, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 26, 2010

Last certification

Feb 26, 2010

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Sep 4, 2008 in MA

Enrollment address

891 Centre St
Jamaica Plain, MA 02130-2776
HHA Branch

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Guardian Healthcare, LLC

  • Home Health Agency
  • Jamaica Plain, MA
  • NPI 1265683569

  O20091007000648

  Same enrollment

Listed as

Guardian HealthcareCCN 227516 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Feb 26, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

Part of

Guardian Healthcare LLC

Locations

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.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Guardian Healthcare, LLC

  • Home Health Agency
  • Jamaica Plain, MA
  • NPI 1265683569
  NPPES parent name

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1861730715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 CENTRE ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302776",
            "telephone_number": "617-522-0630",
            "fax_number": "617-477-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 CENTRE ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302776",
            "telephone_number": "617-477-8290",
            "fax_number": "617-477-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CAREGIVERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUARDIAN HEALTHCARE",
        "enumeration_date": "2013-01-28",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "DE LA ROSA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-477-8290"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110085134B",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110085134A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Exley-Smith, LICSW
• Lori-Anne Facella
• Christopher Olakunle Fagbote, PHARMD
• Parker Rose Fairfield
• Andrea Falvey
• Family Service Association of Greater Boston (Family Service of Greater Boston)
• Daniel J Farnkoff
• Faulkner Cardiology Associates
• Faulkner Emergency Associates, PC
• Faulkner Pathologists, P.C.

• Foster Care Agency in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Foster Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.