TAILORED HEALTH LLC (NPI# 1932621539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932621539 |
| Entity Type | Organization |
| Organization Name | TAILORED HEALTH LLC |
| Practice Address |
66 Spark St Brockton MA 02302-1705 |
| Practice Telephone | (617) 504-6205 |
| Mailing Telephone | 6175046205 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-07-14 |
| Authorized Official Name | LUKE IGWEOBI (CEO) |
| Authorized Official Telephone | 6175046205 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
66 SPARK ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962925073 | Accel Health LLC | Home Health | 66 Spark St, Brockton, MA 02302-1705 | 2017-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723871 | Greatcomforthomecare | Home Health | 39 Blendall St, Brockton, MA 02302-1740 | 2020-06-06 |
| 1114549698 | Brightlight Healthcare LLC | Home Health | 425 Pleasant St Ste 101, Brockton, MA 02301-2533 | 2020-05-07 |
| 1003440348 | We Care- Home Care Agency | Home Health | 504 W Elm St, Brockton, MA 02301-4159 | 2020-02-25 |
| 1982190542 | To-shankel Healthcare Services LLC | Home Health | 62 Temi Rd, Brockton, MA 02302-3049 | 2018-07-06 |
| 1386150829 | Qaz Home Care Services | Home Health | 71 Legion Pkwy Ste 16, Brockton, MA 02301-7225 | 2017-12-20 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1609310481 | Jodamax LLC | Home Health | 1106 Main St Ste 201, Brockton, MA 02301-6864 | 2016-12-13 |
| 1336682442 | Zem Health Systems LLC | Home Health | 51 Hovendon Ave, Brockton, MA 02302-1220 | 2016-11-21 |
| 1245772730 | Brockton Home Health Care Agency | Home Health | 71 Legion Pkwy Ste 15, Brockton, MA 02301-7225 | 2016-11-15 |
| 1073060778 | Idalina Monteiro | Home Health | 203 Cross St, Brockton, MA 02301-2116 | 2016-09-09 |
| Find all providers in BROCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.