Deriviere Health Care Staffing Inc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

DERIVIERE HEALTH CARE STAFFING INC

Practice address

100 Merrimack St Ste 306
Lowell, MA 01852-1706

Phone

(617) 223-7463

Fax

(888) 811-5268

NPI assigned

Jul 27, 2020

Organization subpart

No

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

Authorized official

Name

Wichnite Deriviere, RN

Title

Administrator

Phone

(617) 223-7463

Specialties & licenses 7

Addresses

Other identifiers 1

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1023627049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MERRIMACK ST STE 306",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521706",
            "telephone_number": "617-223-7463",
            "fax_number": "888-811-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERRIMACK ST STE 306",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521706",
            "telephone_number": "617-223-7463",
            "fax_number": "888-811-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERIVIERE HEALTH CARE STAFFING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "DERIVIERE",
        "authorized_official_first_name": "WICHNITE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "617-223-7463",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110092881A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Susan M Derosa, PT
• Carole Ann S Dery, M.S.

• Nursing Care Agency in Lowell, MA
• Providers in Lowell, MA by specialty
• Nursing Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.