Organization Active NPI

Choice Community Supports Inc.

  • Case Manager/Care Coordinator
  • Quincy, MA
National Provider Identifier
1396966032
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
CHOICE COMMUNITY SUPPORTS INC.
Practice address
1147 Hancock St
Suite 215
Quincy, MA 02169-4343
Phone
(617) 657-0002
Fax
(617) 657-0006
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Catherine A Denny
Title
Chief Executive Officer
Phone
(617) 657-0002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

1147 Hancock St
Suite 215
Quincy, MA 02169-4343

Mailing address

1147 Hancock St
Suite 215
Quincy, MA 02169-4343
Phone (617) 657-0002

National Provider Directory

National Provider Directory

Locations

1147 Hancock St
Ste 215
Quincy, MA 02169
Phone (617) 657-0002

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396966032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 HANCOCK ST",
            "address_2": "SUITE 215",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694343",
            "telephone_number": "617-657-0002",
            "fax_number": "617-657-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 HANCOCK ST",
            "address_2": "SUITE 215",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694343",
            "telephone_number": "617-657-0002",
            "fax_number": "617-657-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE COMMUNITY SUPPORTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENNY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-657-0002"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.