Organization Active NPI

S&M Kodam LLC D/B/a Visiting Angels

  • In Home Supportive Care Agency
  • Leominster, MA
National Provider Identifier
1972475432
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
S&M KODAM LLC D/B/A VISITING ANGELS
Practice address
853 N Main St Ste 201
Leominster, MA 01453-1424
Phone
(978) 227-5263
NPI assigned
Sep 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Shravan Kumar Kodam
Title
Director/Owner
Phone
(617) 750-3858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

853 N Main St Ste 201
Leominster, MA 01453-1424

Mailing address

853 N Main St Ste 201
Leominster, MA 01453-1424
Phone (978) 227-5263

National Provider Directory

National Provider Directory

Locations

853 N Main St
Ste 201
Leominster, MA 01453
Phone (978) 227-5263

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1972475432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 N MAIN ST STE 201",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014531424",
            "telephone_number": "978-227-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 N MAIN ST STE 201",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014531424",
            "telephone_number": "978-227-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&M KODAM LLC D/B/A VISITING ANGELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "KODAM",
        "authorized_official_first_name": "SHRAVAN KUMAR",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "617-750-3858"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.