Active NPI
Town of Stoughton
- Home Health Agency
- Stoughton, MA
National Provider Identifier
1114924461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- TOWN OF STOUGHTON
- Practice address
- 10 Pearl St
Stoughton, MA 02072-2364 - Phone
- (781) 344-7011
- Fax
- (781) 344-6238
- NPI assigned
- Jul 1, 2005
- 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
- Ms. Janiece Bruce, REGISTERED NURSE
- Title
- Interim Director
- Phone
- (781) 344-7011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | MA | Primary |
Addresses
Primary practice location
10 Pearl St
Stoughton, MA 02072-2364
Mailing address
10 Pearl St
Stoughton, MA 02072-2364
Phone (781) 344-7011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0600431 | Medicaid | MA |
Other names 1
- Stoughton Public Health Association
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0889624 | Stoughton Public Health Association | Certificate of waiver | Aug 1, 2026 |
National Provider Directory
National Provider DirectoryLocations
10 Pearl St
Stoughton, MA 02072
Phone (781) 344-7011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1114924461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 PEARL ST",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020722364",
"telephone_number": "781-344-7011",
"fax_number": "781-344-6238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PEARL ST",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020722364",
"telephone_number": "781-344-7011",
"fax_number": "781-344-6238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF STOUGHTON",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-01",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BRUCE",
"authorized_official_first_name": "JANIECE",
"authorized_official_title_or_position": "INTERIM DIRECTOR",
"authorized_official_telephone_number": "781-344-7011",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0600431",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Stoughton Public Health Association",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Stoughton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.