Organization Active NPI

Capuano Home Health Care, Inc

  • Home Health Agency
  • E Longmeadow, MA
National Provider Identifier
1881694503
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CAPUANO HOME HEALTH CARE, INC
Practice address
265 Benton Dr Ste 201
E Longmeadow, MA 01028-3219
Phone
(413) 525-2124
Fax
(413) 525-5691
NPI assigned
Jul 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Tiara Chatman, RN
Title
Ceo
Phone
(413) 525-2124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MA Primary

Addresses

Primary practice location

265 Benton Dr Ste 201
E Longmeadow, MA 01028-3219

Mailing address

265 Benton Dr Ste 201
E Longmeadow, MA 01028-3219
Phone (413) 525-2124

Other identifiers 1

IdentifierTypeStateIssuer
0606693MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030312000019 MA Part A Provider - Home Health Agency 8123937448 Practice locations: East Longmeadow, MA

Home health agency certification: CCN 227433

Legal name
CAPUANO HOME HEALTH CARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 20, 1996
Last certification
Mar 23, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 20, 1996 in MA
Enrollment address
265 Benton Drive # 201
East Longmeadow, MA 01028-3209
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Capuano Home Health Care IncCCN 227433
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
May 20, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0913086Capuano Home Health Care Inc265 Benton Drive, Suite 201, East Longmeadow, MA 01028Certificate of waiverMar 19, 2028

National Provider Directory

National Provider Directory

Locations

265 Benton Dr
Ste 201
East Longmeadow, MA 01028
Phone (413) 525-2124

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Tiara Chatman Individual 5% Or Greater Direct Ownership Interest Dec 31, 2020 30%
Corporate OfficerCeo and President Dec 31, 2020 30%
W-2 Managing EmployeeAdministrator Dec 31, 2020 30%
Nicholas Chatman Individual 5% Or Greater Direct Ownership Interest Dec 31, 2020 30%
Corporate OfficerBoaerd Member Dec 31, 2020 30%
Michael Griffin Individual 5% Or Greater Direct Ownership Interest Dec 31, 2020 20%
Corporate OfficerVice President Dec 31, 2020 20%
W-2 Managing EmployeeClinical Director Dec 31, 2020 20%
Mary Driscoll Griffin Individual 5% Or Greater Direct Ownership Interest Dec 31, 2020 20%
Corporate OfficerSecrrtary Dec 31, 2020 20%
W-2 Managing EmployeeTriage Manager Dec 31, 2020 20%

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881694503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BENTON DR STE 201",
            "city": "E LONGMEADOW",
            "state": "MA",
            "postal_code": "010283219",
            "telephone_number": "413-525-2124",
            "fax_number": "413-525-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 BENTON DR STE 201",
            "city": "E LONGMEADOW",
            "state": "MA",
            "postal_code": "010283219",
            "telephone_number": "413-525-2124",
            "fax_number": "413-525-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPUANO HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2022-07-21",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "CHATMAN",
        "authorized_official_first_name": "TIARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "413-525-2124",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0606693",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in E Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.