Tailored Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TAILORED HEALTH LLC

Practice address

66 Spark St
Brockton, MA 02302-1705

Phone

(617) 504-6205

NPI assigned

Jul 14, 2017

Organization subpart

No

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

Authorized official

Name

Luke Igweobi

Title

Ceo

Phone

(617) 504-6205

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1932621539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SPARK ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023021705",
            "telephone_number": "617-504-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 SPARK ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023021705",
            "telephone_number": "617-504-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAILORED HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "IGWEOBI",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-504-6205"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Tabasky
• Emilie A Tack, DO
• Ashley Elizabeth Tagrin
• Dil Tahera, M.D.
• Syed M Tahir, MD
• Charnya Vivian Tajah- Dennis
• Charles Tadao Takayanagi, MAC
• Julia Tallering
• Celia Tam, EDM
• Christopher Anthony Tamulevich

• Home Health Agency in Brockton, MA
• Providers in Brockton, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.