NPIMap

Organization Active NPI

Glenneagle, LLC

  • In Home Supportive Care Agency
  • Needham, MA
National Provider Identifier
1225467053
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
7006 Issued in MA
Legal business name
GLENNEAGLE, LLC
Practice address
124 Crescent Rd
Needham, MA 02494-1442
Phone
(781) 449-0402
Fax
(781) 449-0854
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Authorized official

Name
Gerald E Rabinovitz
Title
Vice President
Phone
(781) 449-0402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 7006 MA Primary

Addresses

Primary practice location

124 Crescent Rd
Needham, MA 02494-1442

Mailing address

124 Crescent Rd
Needham, MA 02494-1442
Phone (781) 449-0402

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1225467053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CRESCENT RD",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941442",
            "telephone_number": "781-449-0402",
            "fax_number": "781-449-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 CRESCENT RD",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941442",
            "telephone_number": "781-449-0402",
            "fax_number": "781-449-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENNEAGLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "RABINOVITZ",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-449-0402"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MA",
            "license": "7006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.