Family Service Association of Greater Fall River, Inc.
Organization Active NPI Adult Day Care Clinic/Center · Raynham, MA
NPI 1164543302 · NPPES record last updated Jan 29, 2020
Key facts
- NPI
- 1164543302
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Day Care Clinic/Center 261QA0600X
- Legal business name
- FAMILY SERVICE ASSOCIATION OF GREATER FALL RIVER, INC.
- Practice address
- 244 N Main St
Raynham, MA 02767-1686 - Phone
- (508) 822-6603
- NPI assigned
- Apr 3, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- FAMILY SERVICE ASSOCIATION OF GREATER FALL RIVER, INC.
Authorized official
- Name
- Mrs. Carol A Nagle, MS
- Title
- Ceo
- Phone
- (508) 677-3822
Corporate family (same tax ID) 11
Practitioners 1
-
Joshua Borges, BSW
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2100067 | Countryside Adult Day Health | Certificate of waiver | Aug 6, 2027 |
National Provider Directory
- Tax ID family
- Family Service Association of Greater Fall River Inc
- Part of
- Family Service Association of Greater Fall River Inc
Locations
244 N Main St
Raynham, MA 02767
Phone (508) 822-1447
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Yes |
Addresses
Primary practice location
244 N Main St
Raynham, MA 02767-1686
Mailing address
101 Rock St FL 1
Fall River, MA 02720-3138
Phone (508) 677-3822
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1900293 | Medicaid | MA |
Other names
- Family Service Association
- Family Service Association Countryside Adult Day Health
Other providers in Raynham, MA
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- Thomas F Eisenmann
- Jessi Ellis
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- Amanda Esters
- Miriam E Fernandes
- Andrea Ferreira
- Elizabeth T. Ferreira
- Cathleen Fevrier
- Robert J Figman
All providers in Raynham, MA · Adult Day Care Clinic/Center in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.