NPIMap

Organization Active NPI

Ducharme Estates LTD

  • Assisted Living Facility
  • Blackstone, MA
National Provider Identifier
1003934928
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
1904787 Issued in MA
Legal business name
DUCHARME ESTATES LTD
Practice address
25 Federal St
Blackstone, MA 01504-1327
Phone
(508) 883-2066
Fax
(508) 883-0360
NPI assigned
Mar 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Marcia Demelo-Ducharme, M.ED. MB.ADM.
Title
Executive Director
Phone
(508) 883-2066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 1904787 MA Primary

Addresses

Primary practice location

25 Federal St
Blackstone, MA 01504-1327

Mailing address

25 Federal St
Blackstone, MA 01504-1327
Phone (508) 883-2066

Other identifiers 1

IdentifierTypeStateIssuer
1904787OtherMAMA. PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003934928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 FEDERAL ST",
            "city": "BLACKSTONE",
            "state": "MA",
            "postal_code": "015041327",
            "telephone_number": "508-883-2066",
            "fax_number": "508-883-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 FEDERAL ST",
            "city": "BLACKSTONE",
            "state": "MA",
            "postal_code": "015041327",
            "telephone_number": "508-883-2066",
            "fax_number": "508-883-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUCHARME ESTATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMELO-DUCHARME",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-883-2066",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED. MB.ADM."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": "1904787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA. PROVIDER NUMBER",
            "identifier": "1904787",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackstone, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.