Pansora LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

PANSORA LLC

Practice address

115 Pearl Ave # B
Revere, MA 02151-4211

Phone

(351) 201-7773

NPI assigned

Apr 11, 2023

Organization subpart

No

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

Authorized official

Name

Alain Pansora Pansora Fomelack Atabong, CNA

Title

Ceo

Phone

(351) 201-7773

Specialties & licenses 6

Addresses

Other names 1

• PANSORA LLC Former legal business name

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1285329565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PEARL AVE # B",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514211",
            "telephone_number": "351-201-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PEARL AVE # B",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514211",
            "telephone_number": "351-201-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANSORA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "ATABONG",
        "authorized_official_first_name": "ALAIN PANSORA",
        "authorized_official_middle_name": "PANSORA FOMELACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "351-201-7773",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PANSORA LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Nursing Care Agency in Revere, MA
• Providers in Revere, MA by specialty
• Nursing Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.