Active NPI
Family Care Extended, Inc.
- Home Health Agency
- Needham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- FAMILY CARE EXTENDED, INC.
- Practice address
- 687 Highland Ave
Needham, MA 02494-2232 - Phone
- (781) 449-5155
- NPI assigned
- Apr 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Anatoliy S Rivkin
- Title
- VP
- Phone
- (781) 449-5155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
687 Highland Ave
Needham, MA 02494-2232
Mailing address
687 Highland Ave
Needham, MA 02494-2232
Phone (781) 449-5155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0611247 | Medicaid | MA |
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Family Care Extended, Inc
- Ownership
- Proprietary
- Certified
- Jul 6, 2005
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
National Provider Directory
National Provider DirectoryLocations
687 Highland Ave
Needham Heights, MA 02494
Phone (617) 527-4610
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Hyde Park, MA
- NPI 1629254263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324425600000",
"number": "1417919010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "687 HIGHLAND AVE",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024942232",
"telephone_number": "781-449-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "687 HIGHLAND AVE",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024942232",
"telephone_number": "781-449-5155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CARE EXTENDED, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-06",
"last_updated": "2011-12-21",
"status": "A",
"authorized_official_last_name": "RIVKIN",
"authorized_official_first_name": "ANATOLIY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "781-449-5155",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0611247",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.