NPIMap

Organization Active NPI

Northeast Professional Registry of Nurses Inc

Doing business as Beth Israel Lahey Health at Home

  • Community Based Hospice Care Agency
  • Woburn, MA
National Provider Identifier
1912905597
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
NORTHEAST PROFESSIONAL REGISTRY OF NURSES INC
Doing business as
Beth Israel Lahey Health at Home
Practice address
8 Presidential Way FL 2
Woburn, MA 01801-1041
Phone
(781) 756-2488
Fax
(781) 756-2654
NPI assigned
Jul 8, 2005
Last updated
Jul 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Karen M Eichhorn
Title
Cfo, Continuing Care
Phone
(978) 412-2079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X MA Primary

Addresses

Primary practice location

8 Presidential Way FL 2
Woburn, MA 01801-1041

Mailing address

800 W Cummings Park Ste 5000
Woburn, MA 01801-6356
Phone (781) 756-2488

Other identifiers 2

IdentifierTypeStateIssuer
110074458CMedicaidMA
110024480AMedicaidMA

Other names 1

  • Beth Israel Lahey Health at Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170317000630 MA Part A Provider - Hospice 0840200267 Practice locations: Reading, MA; Woburn, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912905597. Details of each certification follow.

Hospice certification: CCN 221541

Legal name
NORTHEAST PROFESSIONAL REGISTRY OF NURSES, INC.
Doing business as
BETH ISRAEL LAHEY HEALTH AT HOME
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 23, 1993
Last certification
May 23, 2018
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Feb 13, 1967 in MA
Enrollment address
800 West Cummings Park
Suite 5000
Woburn, MA 01801-3200

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Beth Israel Lahey Health at HomeCCN 221541 · All quality measures
Ownership
Non-Profit
Certified
Dec 23, 1993
Medicare certification status
ActiveFrom the Provider of Services file

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
22D2288826Northeast Professional Registry of Nurses Inc8 Presidential Way, Woburn, MA 01801Certificate of waiverAug 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Northeast Professional Registry of Nurses Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8 Presidential Way
#2
Woburn, MA 01801
Phone 7817562488 ext. 45687

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Beth Israel Lahey Health, Inc. Organization, Boston, MA Non-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2019 100%
Hollie L Williamson Individual Operational/Managerial ControlDirector of HH & Hospice Busines Jul 3, 2006 20%
David Spackman Individual Corporate OfficerClerk Jan 1, 2017
Corporate DirectorBoard Member Jan 1, 2017
Lahey Health System Inc Organization, Burlington, MA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest May 1, 2012 100%
Deborah a Costello Individual Operational/Managerial ControlVice President Operations May 13, 2013 80%
North East Senior Health Corporation Organization, Beverly, MA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Mar 15, 2011 100%

Facilities with the same owner 18

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 18

Change-of-ownership history 2

DateEventCounterparty
Jan 1, 2017 Change of OwnershipThis provider was the buyer Visiting Nurse Association of Middlesex-East, Inc.CCN 221541, MA, NPI 1912905597
Jan 1, 2017 Change of OwnershipThis provider was the seller Beth Israel Lahey Health at HomeCCN 221541, MA, NPI 1912905597

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 110

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 110

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1912905597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W CUMMINGS PARK STE 5000",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016356",
            "telephone_number": "781-756-2488",
            "fax_number": "781-756-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PRESIDENTIAL WAY FL 2",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011041",
            "telephone_number": "781-756-2488",
            "fax_number": "781-756-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST PROFESSIONAL REGISTRY OF NURSES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "EICHHORN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO, CONTINUING CARE",
        "authorized_official_telephone_number": "978-412-2079"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110074458C",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110024480A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beth Israel Lahey Health at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woburn, MA

Sources for this page

Verify at the official NPI Registry.