NPIMap

Organization Active NPI

Rose Aubourg Services LLC

  • Foster Care Agency
  • Hyde Park, MA
National Provider Identifier
1346549201
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
8020 Issued in MA
Legal business name
ROSE AUBOURG SERVICES LLC
Practice address
169 Wood Ave
Suite1
Hyde Park, MA 02136-3823
Phone
(857) 544-9100
Fax
(617) 361-6981
NPI assigned
Mar 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Mrs. Nsudila Rose Aubourg, ASSOCIATE DEGREE
Title
Presient
Phone
(857) 544-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 8020 MA Primary

Addresses

Primary practice location

169 Wood Ave
Suite1
Hyde Park, MA 02136-3823

Mailing address

169 Wood Ave
Suite1
Hyde Park, MA 02136-3823
Phone (857) 544-9100

Other identifiers 1

IdentifierTypeStateIssuer
8020OtherMALICENCE FROM DIVISION OF OCCUPATIONAL SAFETY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1346549201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 WOOD AVE",
            "address_2": "SUITE1",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363823",
            "telephone_number": "857-544-9100",
            "fax_number": "617-361-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 WOOD AVE",
            "address_2": "SUITE1",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363823",
            "telephone_number": "857-544-9100",
            "fax_number": "617-361-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE AUBOURG SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "AUBOURG",
        "authorized_official_first_name": "NSUDILA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRESIENT",
        "authorized_official_telephone_number": "857-544-9100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ASSOCIATE DEGREE"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MA",
            "license": "8020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE FROM DIVISION OF OCCUPATIONAL SAFETY",
            "identifier": "8020",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.