NPIMap

Organization Active NPI

Somerville Cambridge Elder Services

  • Personal Care Attendant
  • Somerville, MA
National Provider Identifier
1225162191
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
SOMERVILLE CAMBRIDGE ELDER SERVICES
Practice address
61 Medford St
Somerville, MA 02143-3429
Phone
(617) 628-2601
Fax
(617) 628-1085
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John O'Neill
Title
Execuitve Director
Phone
(617) 628-2601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

61 Medford St
Somerville, MA 02143-3429

Mailing address

61 Medford St
Somerville, MA 02143-3429
Phone (617) 628-2601

Other identifiers 1

IdentifierTypeStateIssuer
1906437MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Somerville Cambridge Elder Services7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

61 Medford St
Somerville, MA 02143
Phone (617) 628-2601

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225162191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MEDFORD ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433429",
            "telephone_number": "617-628-2601",
            "fax_number": "617-628-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MEDFORD ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433429",
            "telephone_number": "617-628-2601",
            "fax_number": "617-628-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERVILLE CAMBRIDGE ELDER SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUITVE DIRECTOR",
        "authorized_official_telephone_number": "617-628-2601",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1906437",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • 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.