Organization Active NPI

Qaz Home Care Services

  • Home Health Agency
  • Brockton, MA
National Provider Identifier
1386150829
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
QAZ HOME CARE SERVICES
Practice address
71 Legion Pkwy Ste 16
Brockton, MA 02301-7225
Phone
(508) 219-0201
Fax
(508) 977-7535
NPI assigned
Dec 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
Mr. Pelege Marcellin
Title
Owner
Phone
(774) 259-7787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

71 Legion Pkwy Ste 16
Brockton, MA 02301-7225

Mailing address

71 Legion Pkwy Ste 16
Brockton, MA 02301-7225
Phone (508) 219-0201

Other names 1

  • QAZ Home Care Services, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

71 Legion Pkwy
Ste 16
Brockton, MA 02301
Phone (508) 219-0201

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1386150829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 LEGION PKWY STE 16",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023017225",
            "telephone_number": "508-219-0201",
            "fax_number": "508-977-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 LEGION PKWY STE 16",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023017225",
            "telephone_number": "508-219-0201",
            "fax_number": "508-977-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QAZ HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "MARCELLIN",
        "authorized_official_first_name": "PELEGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-259-7787",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QAZ Home Care Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 15, 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.