Bamboo Adult Day Health

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

BAMBOO ADULT DAY HEALTH

Practice address

185 Perkins St
Brockton, MA 02301

Phone

(774) 259-7787

NPI assigned

Jul 18, 2016

Organization subpart

No

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

Authorized official

Name

Marie M Marcellin

Title

Nurse

Phone

(508) 638-8979

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1336592187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 PROSPECT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 PERKINS ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "774-259-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMBOO ADULT DAY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "MARCELLIN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "508-638-8979"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Balasco
• Rajani Balasubramaniam
• Barbara Jean Balcius-Sullivan, CLPN
• Monique Balfour, NP
• Jonathan Ballou, B.A
• Patricia Bamonti
• Bamsi
• Jodi Bandola, P.T.
• Susan K Banez, M.D.
• Kathryn Jean Bangerter, MSW LICSW

• Adult Care Home Facility in Brockton, MA
• Providers in Brockton, MA by specialty
• Adult Care Home Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.