Organization Active NPI

Professional Home Nursing Services

  • Home Health Agency
  • Medford, MA
National Provider Identifier
1871801316
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROFESSIONAL HOME NURSING SERVICES
Practice address
42 Wareham Street
Medford, MA 02155-6222
Phone
(781) 572-0080
Fax
(781) 219-4466
NPI assigned
Sep 17, 2010
Last updated
Sep 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Ms. Carla Antonia Rania, RN
Title
Ceo
Phone
(781) 572-0080

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Home Health Agency 251E00000X NU Primary
Community Based Hospice Care Agency 251G00000X NU
Nursing Care Agency 251J00000X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

42 Wareham Street
Medford, MA 02155-6222

Mailing address

42 Wareham Street
Medford, MA 02155-6222
Phone (781) 572-0080

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1871801316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 WAREHAM STREET",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021556222",
            "telephone_number": "781-572-0080",
            "fax_number": "781-219-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 WAREHAM STREET",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021556222",
            "telephone_number": "781-572-0080",
            "fax_number": "781-219-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME NURSING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "RANIA",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "ANTONIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-572-0080",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.