NPIMap

Organization Active NPI

MC Healthcare & Training Center LLC

  • Home Health Agency
  • Peabody, MA
National Provider Identifier
1093194854
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
RN2276609 Issued in MA
Legal business name
MC HEALTHCARE & TRAINING CENTER LLC
Practice address
58 Rear Pulaski St BLDG 8
Peabody, MA 01960-1829
Phone
(978) 872-0672
Fax
(781) 629-2496
NPI assigned
May 27, 2015
Last updated
Dec 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Authorized official

Name
Marc-Arthur Clerveau, RN
Title
Manager
Phone
(904) 713-5771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X RN2276609 MA Primary

Addresses

Primary practice location

58 Rear Pulaski St BLDG 8
Peabody, MA 01960-1829

Mailing address

58 Rear Pulaski Street
Suite 201 # 8
Peabody, MA 01960-4339
Phone (978) 872-0672

National Provider Directory

National Provider Directory

Locations

58 Rear Pulaski St
Bldg 8
Peabody, MA 01960
Phone (978) 872-0672

58 Rear Pulaski St
Ste 201
Peabody, MA 01960

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1093194854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 REAR PULASKI STREET",
            "address_2": "SUITE 201 # 8",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604339",
            "telephone_number": "978-872-0672",
            "fax_number": "781-629-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 REAR PULASKI ST BLDG 8",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601829",
            "telephone_number": "978-872-0672",
            "fax_number": "781-629-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC HEALTHCARE & TRAINING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "CLERVEAU",
        "authorized_official_first_name": "MARC-ARTHUR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-713-5771",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "RN2276609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.