Organization Active NPI

Worcester Afc, LLC

  • Foster Care Agency
  • Shrewsbury, MA
National Provider Identifier
1285236356
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
WORCESTER AFC, LLC
Practice address
35 Harrington Ave Unit 4308
Shrewsbury, MA 01545-5286
Phone
(718) 916-6721
NPI assigned
Nov 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Leonid Komsky
Title
Owner
Phone
(718) 916-6721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

35 Harrington Ave Unit 4308
Shrewsbury, MA 01545-5286

Mailing address

35 Harrington Ave Unit 4308
Shrewsbury, MA 01545-5286

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1285236356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HARRINGTON AVE UNIT 4308",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 HARRINGTON AVE UNIT 4308",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455286",
            "telephone_number": "718-916-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORCESTER AFC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "KOMSKY",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-916-6721"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.