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LUCKY MEDICAL HOME CARE LLC
NPI 1063092013
Home Health in West Springfield, MA

Active since April 13, 2021CLIA 22D2274727 · Waiver
1111 ELM ST STE 17, WEST SPRINGFIELD, MA 01089(413) 557-8457 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2024, Apr 13, 2021 (2 updates tracked since 2021).

About Lucky Medical Home Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUCKY MEDICAL HOME CARE LLC (NPI 1063092013) is a healthcare organization registered as a home health in West Springfield, Massachusetts and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through January 9, 2027 and lists Abena Amankwah, Vice President- Member, as its authorized official.

NPPES Registry Identity

NPI1063092013
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameLUCKY MEDICAL HOME CARE LLC
Location Address1111 ELM ST STE 17West Springfield, MA 01089-1540
Mailing Address1111 Elm St Ste 17West Springfield, MA 01089-1540 · (413) 557-8457
Phone(413) 557-8457
Organization SubpartNo
Authorized OfficialAbena AmankwahVice President- Member · (413) 557-8457
Enumeration DateApril 13, 2021
Last NPPES UpdateNovember 20, 20242 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1063092013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
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.
1111 ELM ST STE 17, West Springfield, MA 01089
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2274727

Lucky Medical Home Care, LLC · West Springfield, MA
Active · expires Jan 9, 2027
CLIA Number22D2274727
Laboratory TypeHome Health Agency
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorMs. Cynthia Sefa Bonsu
Laboratory Phone(413) 363-0063
Laboratory LocationLucky Medical Home Care, LLC1111 Elm Street, Suite 17, West Springfield, MA 01089
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY LIMA
Specialist/Technologist (Speech-Language Assistant)
1111 ELM ST STE 17
WEST SPRINGFIELD, MA 01089
Hampden County (413) 342-4027
ABLE HEALTHCARE
Home Health
1111 ELM ST STE 17
WEST SPRINGFIELD, MA 01089
Hampden County (413) 417-7538

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lucky Medical Home Care LLC's NPI number?

The NPI number for Lucky Medical Home Care LLC is 1063092013. It was assigned to this organization in the NPPES registry on April 13, 2021.

Where is Lucky Medical Home Care LLC located?

Lucky Medical Home Care LLC is located at 1111 Elm St Ste 17, West Springfield, MA 01089. The listed phone number is (413) 557-8457.

What is Lucky Medical Home Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Lucky Medical Home Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2274727) is associated with this NPI, valid through January 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lucky Medical Home Care LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Lucky Medical Home Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lucky Medical Home Care LLC was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.