Kit Clark Senior Services, Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

KIT CLARK SENIOR SERVICES, INC

Doing business as

Bay Cove Human Services, Inc

Practice address

645 Washington St
Dorchester, MA 02124-3510

Phone

(617) 474-1272

NPI assigned

Feb 8, 2012

Organization subpart

Yes

Parent organization

BAY COVE HUMAN SERVICES, INCAs reported in NPPES

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

Authorized official

Name

Kerry Horgos

Title

SVP Cfo Finance

Phone

(617) 371-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bay Cove Human Services, Inc Doing business as

Tax ID family

Bay Cove Human Services3 organizations share this tax ID, including this one

Part of

Bay Cove Treatment Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Kit Clark Senior Services

  • Non-emergency Medical Transport (VAN)
  • Dorchester, MA
  • NPI 1518247683
  NPD tax ID
• Kit Clarke Senior Services

  • Non-emergency Medical Transport (VAN)
  • Dorchester, MA
  • NPI 1578836144
  NPD tax ID

Locations

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1194097949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CANAL ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142002",
            "telephone_number": "617-371-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 WASHINGTON ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021243510",
            "telephone_number": "617-474-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIT CLARK SENIOR SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAY COVE HUMAN SERVICES, INC",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "HORGOS",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "SVP CFO FINANCE",
        "authorized_official_telephone_number": "617-371-3000"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110073321B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Cove Human Services, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Gallaugher LLC
• Kimmy Pharmacy
• Stephen Ronald Kinan
• Silver D King
• Kit Clark Senior Services
• Kit Clarke Senior Services
• Tatsuyoshi Kitamura
• Anitra Kloczewiak
• Holly Wheeler Knight, PHARMD
• Emily Knox

• Non-emergency Medical Transport (VAN) in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Non-emergency Medical Transport (VAN) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.