Ellis Memorial & Eldredge House

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

ELLIS MEMORIAL & ELDREDGE HOUSE

Practice address

1 Chandler St
Boston, MA 02116-5215

Phone

(617) 695-9310

Fax

(617) 695-9309

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Leo Delaney

Title

Ceo

Phone

(617) 695-9307

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427101153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 BERKELEY ST",
            "address_2": "P.O. BOX 352",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021166230",
            "telephone_number": "617-695-9307",
            "fax_number": "617-695-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHANDLER ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165215",
            "telephone_number": "617-695-9310",
            "fax_number": "617-695-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS MEMORIAL & ELDREDGE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELANEY",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-695-9307"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Elliott, PA-C
• Kayla Elliott, MD, MBS
• Kayla Marie Elliott, NP
• Lewanda Monic Elliott, M.ED.
• Patrick F Elliott, M.D.,
• Beverley Heidi Ellis, PHD
• Caitlyn Michelle Ellis, PA-C
• Cara Ellis, NP
• Carly M. Ellis, LICSW
• Dan Ellis, MD

• Adult Day Care Clinic/Center in Boston, MA
• Providers in Boston, MA by specialty
• Adult Day Care Clinic/Center in Massachusetts

• 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.