American Light Home Care Services LLC

Organization Active NPI Family Medicine Physician · Burlington, MA

NPI 1992416739 · NPPES record last updated Jun 28, 2023

Key facts

NPI
1992416739
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
AMERICAN LIGHT HOME CARE SERVICES LLC
Practice address
1500 District Ave
Burlington, MA 01803-5069
Phone
(508) 444-8851
Fax
(508) 657-8338
NPI assigned
Dec 13, 2022
Organization subpart
No

Authorized official

Name
Mr. Henry Lubega
Title
Founder/Ceo
Phone
(775) 338-0442

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230517002899 MA Part B Supplier - Clinic/Group Practice 8325404346 Receives reassigned benefits from 1 practitioner
Practice locations: Burlington, MA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1500 District Ave
Burlington, MA 01803-5069

Mailing address

4 Riverhurst Rd Apt 440
Billerica, MA 01821-6603
Phone (775) 338-0442

Other identifiers

IdentifierTypeStateIssuer
110191140MedicaidMA

Other names

  • BriefMD Medical Office Doing business as

Other providers in Burlington, MA

All providers in Burlington, MA · Family Medicine Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.