Organization Active NPI

Maxcen Housing Society Inc Connecticut Branch

  • Respite Care
  • East Lyme, CT
National Provider Identifier
1013542141
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
MAXCEN HOUSING SOCIETY INC CONNECTICUT BRANCH
Practice address
153 Boston Post Rd
East Lyme, CT 06333-1605
Phone
(888) 959-4159
NPI assigned
Mar 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Authorized official

Name
Jean-Maxcene Decarde, WSC
Title
President
Phone
(407) 723-3832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

153 Boston Post Rd
East Lyme, CT 06333-1605

Mailing address

PO Box 136267
Clermont, FL 34713-6267
Phone (407) 723-3832

National Provider Directory

National Provider Directory

Locations

153 Boston Post Rd
East Lyme, CT 06333

NPI Registry JSON

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1013542141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 136267",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347136267",
            "telephone_number": "407-723-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 BOSTON POST RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331605",
            "telephone_number": "888-959-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXCEN HOUSING SOCIETY INC CONNECTICUT BRANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "DECARDE",
        "authorized_official_first_name": "JEAN-MAXCENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-723-3832",
        "authorized_official_credential": "WSC"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lyme, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.