NPIMap

Organization Active NPI

Providential LLC

  • Home Health Agency
  • Framingham, MA
National Provider Identifier
1972959641
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROVIDENTIAL LLC
Practice address
1504 Concord St Ste B
Framingham, MA 01701-7779
Phone
(508) 626-1944
Fax
(508) 626-1933
NPI assigned
May 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Marty Nahigian
Title
President
Phone
(508) 626-1944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1504 Concord St Ste B
Framingham, MA 01701-7779

Mailing address

1504 Concord St Ste B
Framingham, MA 01701-7779
Phone (508) 626-1944

Other names 2

  • Homewatch CareGivers Serving Metrowest Doing business as
  • Sudbury River Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

945 Concord St
Ste 400
Framingham, MA 01701

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1972959641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 CONCORD ST STE B",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017017779",
            "telephone_number": "508-626-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 CONCORD ST STE B",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017017779",
            "telephone_number": "508-626-1944",
            "fax_number": "508-626-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "NAHIGIAN",
        "authorized_official_first_name": "MARTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-626-1944"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewatch CareGivers Serving Metrowest",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sudbury River Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.