Community First Adult Foster Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

COMMUNITY FIRST ADULT FOSTER CARE

Practice address

1078 West Boylston St
Suite 202
Worcester, MA 01606-4572

Phone

(347) 706-5800

NPI assigned

Apr 5, 2022

Organization subpart

No

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

Authorized official

Name

Keri Innis

Title

Ceo

Phone

(347) 706-5800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keri Innis-Grant, MSW PENDING

  • Professional Counselor
  • Worcester, MA
  • NPI 1154800290
  NPD

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1194466920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 WEST BOYLSTON ST",
            "address_2": "SUITE 202",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016064572",
            "telephone_number": "347-706-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 WEST BOYLSTON ST",
            "address_2": "SUITE 202",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016064572",
            "telephone_number": "347-706-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Loxwood St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016044572",
            "country_code": "US",
            "telephone_number": "347-706-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY FIRST ADULT FOSTER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "INNIS",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-706-5800"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Commonwealth Medicine
• Commonwealth of Massachusetts
• Commonwealth Periodontics
• Community Arms Home Healthcare and Behavioral Services LLC
• Community Counseling Center PLLC
• Community Health Link
• Community Health Link
• Community Health Link
• Community Healthlink
• Community Healthlink

• Adult Care Home Facility in Worcester, MA
• Providers in Worcester, 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 Oct 31, 2024; 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.