Active NPI
Gabriel Care Inc
- Assisted Living Facility
- Fall River, MA
National Provider Identifier
1083732952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- GABRIEL CARE INC
- Practice address
- 261 Oliver St
Fall River, MA 02724-2917 - Phone
- (508) 678-9095
- Fax
- (508) 677-2973
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dennis D Etzkorn
- Title
- President
- Phone
- (508) 678-9095
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
261 Oliver St
Fall River, MA 02724-2917
Mailing address
261 Oliver St
Fall River, MA 02724-2917
Phone (508) 678-9095
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0025247 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 1900064 | Medicaid | MA |
Other names 1
- Fall river assisted living center
National Provider Directory
National Provider DirectoryLocations
261 Oliver St
Fall River, MA 02724
Phone (508) 678-9095
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": "1693958400000",
"number": "1083732952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 OLIVER ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027242917",
"telephone_number": "508-678-9095",
"fax_number": "508-677-2973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 OLIVER ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027242917",
"telephone_number": "508-678-9095",
"fax_number": "508-677-2973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GABRIEL CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2023-09-06",
"status": "A",
"authorized_official_last_name": "ETZKORN",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-678-9095",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0025247",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1900064",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fall river assisted living center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.