Peabody Resident Services Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

1902563 Issued in MA

Legal business name

PEABODY RESIDENT SERVICES INC

Practice address

536 Granite St
Braintree, MA 02184-3952

Phone

(781) 794-1000

Fax

(781) 794-1087

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Doreen M Bushashia

Title

Director of Resident Services

Phone

(781) 794-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124236724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 GRANITE STREET",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "02184",
            "telephone_number": "781-794-1000",
            "fax_number": "781-794-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 GRANITE ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021843952",
            "telephone_number": "781-794-1000",
            "fax_number": "781-794-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEABODY RESIDENT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUSHASHIA",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF RESIDENT SERVICES",
        "authorized_official_telephone_number": "781-794-1000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MA",
            "license": "1902563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "902563",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Ann Parsons, LICSW
• Nicole Dee Passarelli
• Kara Patchin, BCBA
• Neha Mukesh Patel, PA-C
• Scott R. Paul, M.D.
• Riley Kathleen Pearse
• Jason Thomas Pekkinen
• David Pelham, DDS,MMSC
• Jenna Lee Pelletier, MA, CCC-SLP
• Danielle Anastasia Pendleton, MSW, LCSW

• Adult Care Home Facility in Braintree, MA
• Providers in Braintree, MA by specialty
• Adult Care Home Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.