Organization Active NPI

Ethiopian Dream Center Inc.

  • Case Management Agency
  • Worcester, MA
National Provider Identifier
1043695794
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ETHIOPIAN DREAM CENTER INC.
Practice address
18A Millbury St
Worcester, MA 01610-2812
Phone
(857) 333-4525
NPI assigned
Jul 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Mr. Mesfin H Beshir
Title
Director
Phone
(508) 762-8085

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Public Health or Welfare Agency 251K00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

18A Millbury St
Worcester, MA 01610-2812

Mailing address

18A Millbury St
Worcester, MA 01610-2812
Phone (857) 333-4525

National Provider Directory

National Provider Directory

Locations

18A Millbury St
Worcester, MA 01610
Phone (508) 304-8692

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1043695794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18A MILLBURY ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102812",
            "telephone_number": "857-333-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18A MILLBURY ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102812",
            "telephone_number": "857-333-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHIOPIAN DREAM CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "BESHIR",
        "authorized_official_first_name": "MESFIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "508-762-8085",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.