NPIMap

Organization Active NPI

Father Bill'S

  • Case Management Agency
  • Brockton, MA
National Provider Identifier
1275308249
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
FATHER BILL'S
Practice address
162 Forest Ave Apt 1
Brockton, MA 02301-7257
Phone
(774) 279-5839
NPI assigned
Nov 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Augustine Amadi
Title
Case Manager
Phone
(774) 279-5839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

162 Forest Ave Apt 1
Brockton, MA 02301-7257

Mailing address

682 N Montello St
Brockton, MA 02301
Phone (774) 279-5839

Other names 1

  • FBMS Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1275308249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 N MONTELLO ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "774-279-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 FOREST AVE APT 1",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023017257",
            "telephone_number": "774-279-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATHER BILL'S",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "AMADI",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "774-279-5839"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FBMS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.