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ETHIO HOME HEALTH CARE LLC
NPI 1114386901
Home Health in Cambridge, MA

Active since February 22, 2016
545 CONCORD AVE, STE 6, CAMBRIDGE, MA 02138(617) 955-0629 Get Directions Write a Review

NPPES record last updated: February 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethio Home Health Care Llc NPPES

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

ETHIO HOME HEALTH CARE LLC (NPI 1114386901) is a healthcare organization registered as a home health in Cambridge, Massachusetts and active in the NPI registry since February 2016. The organization lists Samson Haileyesus, Owner, as its authorized official.

NPPES Registry Identity

NPI1114386901
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameETHIO HOME HEALTH CARE LLC
Location Address545 CONCORD AVE, STE 6Cambridge, MA 02138-1125
Mailing Address545 Concord Ave, Ste 6Cambridge, MA 02138-1125 · (617) 955-0629
Phone(617) 955-0629
Organization SubpartNo
Authorized OfficialSamson HaileyesusOwner · (617) 320-2382
Enumeration DateFebruary 22, 2016
✔ NPI 1114386901 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.
545 CONCORD AVE, Cambridge, MA 02138
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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 22D2117167

Ethio Home Health Care LLC · Cambridge, MA
Expired · Aug 9, 2026
CLIA Number22D2117167
Laboratory TypeHome Health Agency
Certificate Effective DateAugust 10, 2024
Certificate Expiration DateAugust 9, 2026
Laboratory DirectorSamson Z. Haileyesus
Laboratory Phone(617) 955-0629
Laboratory LocationEthio Home Health Care LLC545 Concord Ave Ste 6, Cambridge, MA 02138
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

ETHIO DENTAL CARE
Clinic/Center (Dental)
545 CONCORD AVE, SUITE 7
CAMBRIDGE, MA 02138
Middlesex County (617) 714-3431
DR. ANN C HORWITZ ED.D.
Psychologist (Counseling)
545 CONCORD AVE, SUITE 20
CAMBRIDGE, MA 02138
Middlesex County (781) 354-0204
FERN MILLER ACSW LICSW
Social Worker
545 CONCORD AVE, SUITE 20
CAMBRIDGE, MA 02138
Middlesex County (617) 876-6688
DR. LAWRENCE KRON PH.D.
Psychologist (Clinical)
545 CONCORD AVE, SUITE 320
CAMBRIDGE, MA 02138
Middlesex County (617) 448-6237
NINA FRIEDMAN
Social Worker (Clinical)
545 CONCORD AVE, SUITE 20
CAMBRIDGE, MA 02138
Middlesex County (617) 868-8588
DR. JUDITH E KRULEWITZ PH.D.
Psychologist (Clinical)
545 CONCORD AVE, SUITE 20
CAMBRIDGE, MA 02138
Middlesex County (617) 818-2159
DR. ANNKATRINE LIEGMANN GATES PSYD
Psychologist (Clinical)
545 CONCORD AVE
CAMBRIDGE, MA 02138
Middlesex County (617) 800-9469
DR. DALE E DILLAVOU PHD
Psychologist
545 CONCORD AVE, SUITE 20
CAMBRIDGE, MA 02138
Middlesex County (617) 499-9977

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 Ethio Home Health Care LLC's NPI number?

The NPI number for Ethio Home Health Care LLC is 1114386901. It was assigned to this organization in the NPPES registry on February 22, 2016.

Where is Ethio Home Health Care LLC located?

Ethio Home Health Care LLC is located at 545 Concord Ave Ste 6, Cambridge, MA 02138. The listed phone number is (617) 955-0629.

What is Ethio Home Health Care LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Ethio Home Health Care LLC was last updated on February 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.