NPIMap

Organization Active NPI

Family Service Association of Greater Fall River, Inc.

Doing business as Adult Day Health

  • Adult Day Care Clinic/Center
  • Fall River, MA
National Provider Identifier
1265553473
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
FAMILY SERVICE ASSOCIATION OF GREATER FALL RIVER, INC.
Doing business as
Adult Day Health
Family Service Association
Practice address
21 Father Devalles Blvd
Fall River, MA 02723-1519
Phone
(508) 324-4208
Fax
(508) 675-1600
NPI assigned
Apr 3, 2007
Last updated
Jan 29, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY SERVICE ASSOCIATION OF GREATER FALL RIVER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Authorized official

Name
Mrs. Carol A Nagle, MS
Title
Cheif Executive Offficer
Phone
(508) 677-3822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

21 Father Devalles Blvd
Fall River, MA 02723-1519

Mailing address

101 Rock St
Fall River, MA 02720-3133
Phone (508) 677-3822

Other identifiers 1

IdentifierTypeStateIssuer
1902407MedicaidMA

Other names 3

  • Adult Day Health Doing business as
  • Family Service Association Doing business as
  • Family Service Association Cornerstone Adult Day Health Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2096250Cornerstone Adult Day Health21 Father Devalles Blvd Level 1 Unit 11, Fall River, MA 02723Certificate of waiverMay 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Family Service ASC of G12 organizations share this tax ID, including this one
Part of
Family Service ASC of G

Other organizations with this tax ID 11

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

Locations

21 Father Devalles Blvd
Fall River, MA 02723
Phone (508) 317-8484

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1265553473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ROCK ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203133",
            "telephone_number": "508-677-3822",
            "fax_number": "508-677-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 FATHER DEVALLES BLVD",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027231519",
            "telephone_number": "508-324-4208",
            "fax_number": "508-675-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE ASSOCIATION OF GREATER FALL RIVER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY SERVICE ASSOCIATION OF GREATER FALL RIVER, INC.",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "NAGLE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFFICER",
        "authorized_official_telephone_number": "508-677-3822",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902407",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Day Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Service Association",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Service Association Cornerstone Adult Day Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.