Organization Active NPI

Medpro Home Care Solutions, LLC

  • Home Health Agency
  • Salem, MA
National Provider Identifier
1972337681
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEDPRO HOME CARE SOLUTIONS, LLC
Practice address
35 Congress St Ste 2100-C
Salem, MA 01970-5529
Phone
(978) 917-2536
NPI assigned
Aug 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Nuncia Gonzalez
Title
Manager
Phone
(305) 934-7498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

35 Congress St Ste 2100-C
Salem, MA 01970-5529

Mailing address

35 Congress St Ste 2100-C
Salem, MA 01970-5529

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241022002162 MA Part A Provider - Home Health Agency 4082146527 Practice locations: Salem, MA

Home health agency certification: CCN 227800

Legal name
MEDPRO HOME CARE SOLUTIONS LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 17, 2025
Last certification
Jun 12, 2025
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 9, 2024 in MA
Enrollment address
35 Congress St
Ste 2100C
Salem, MA 01970-5529
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Medpro Home Care Solutions LLCCCN 227800
Ownership
Proprietary
Certified
Jun 17, 2025
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical 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
22D2315209Medpro Home Care Solutions35 Congress St, Salem, MA 01970Certificate of waiverDec 8, 2026

National Provider Directory

National Provider Directory

Locations

35 Congress St
Ste 2100C
Salem, MA 01970
Phone (978) 917-2536

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
Werner Holdings LLC Organization, Sheridan, WY Created for acquisition, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 9, 2024 100%
Nuncia Gonzalez Individual Corporate OfficerManager Aug 9, 2024 100%
Andrew Kagalovsky Individual W-2 Managing EmployeeAd; Sep 1, 2024 100%
Anna H Resnick Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2024 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1972337681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CONGRESS ST STE 2100-C",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CONGRESS ST STE 2100-C",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705529",
            "telephone_number": "978-917-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPRO HOME CARE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "NUNCIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-934-7498"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.