Masshome Solutions, Inc

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2490 Issued in MA

Legal business name

MASSHOME SOLUTIONS, INC

Practice address

3 Lopez Rd
Wilmington, MA 01887-2563

Phone

(617) 461-8503

Fax

(617) 249-1769

NPI assigned

May 14, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Phara Jourdan, MS, RD, LDN

Title

Owner

Phone

(617) 461-8503

Specialties & licenses 1

Addresses

Other names 1

• Medical Nutrition Therapy Works Doing business as

Locations

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1164699625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GLEN RD",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018871914",
            "telephone_number": "617-461-8503",
            "fax_number": "617-249-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LOPEZ RD",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872563",
            "telephone_number": "617-461-8503",
            "fax_number": "617-249-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSHOME SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "JOURDAN",
        "authorized_official_first_name": "PHARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-461-8503",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "2490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Nutrition Therapy Works",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Dietitian in Wilmington, MA
• Providers in Wilmington, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.