Organization Active NPI

South Shore Elder Services Inc

  • Case Management Agency
  • Braintree, MA
National Provider Identifier
1427179076
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SOUTH SHORE ELDER SERVICES INC
Practice address
159 Bay State Dr
Braintree, MA 02184-5203
Phone
(781) 848-3910
Fax
(781) 843-8279
NPI assigned
Apr 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Edward J Flynn Jr.
Title
Executive Director
Phone
(781) 848-3910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

159 Bay State Dr
Braintree, MA 02184-5203

Mailing address

159 Bay State Dr
Braintree, MA 02184-5203
Phone (781) 848-3910

Other identifiers 1

IdentifierTypeStateIssuer
0603937MedicaidMA

National Provider Directory

National Provider Directory

Locations

159 Bay State Dr
Braintree, MA 02184
Phone (781) 848-3910

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427179076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 BAY STATE DR",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845203",
            "telephone_number": "781-848-3910",
            "fax_number": "781-843-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 BAY STATE DR",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845203",
            "telephone_number": "781-848-3910",
            "fax_number": "781-843-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE ELDER SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "781-848-3910",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0603937",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, 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.