Organization Active NPI

Encompass Care Company Inc

Doing business as Americas Vein Centers

  • General Practice Physician
  • Lincoln, RI
National Provider Identifier
1457302002
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ENCOMPASS CARE COMPANY INC
Doing business as
Americas Vein Centers
Zion Healing Center Jacksonville
Practice address
6 Blackstone Valley PL Ste 301
Lincoln, RI 02865-1112
Phone
(508) 769-2707
Fax
(401) 305-3028
NPI assigned
May 16, 2006
Last updated
May 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Authorized official

Name
Boris O. Bergus, MDNPI 1013975382
Title
Ceo
Phone
(508) 769-2707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

6 Blackstone Valley PL Ste 301
Lincoln, RI 02865-1112

Mailing address

6 Blackstone Valley PL Ste 301
Lincoln, RI 02865-1112
Phone (508) 769-2707

Other practice location 1

4131 University Blvd S Ste 10
Jacksonville, FL 32216-4346
Phone (508) 769-2707

Other names 2

  • Americas Vein Centers Doing business as
  • Zion Healing Center Jacksonville Doing business as

National Provider Directory

National Provider Directory

Locations

2 Park Central Dr
Ste 210
Southborough, MA 01772
Phone (508) 481-8346

1407 S County Trl
Ste 432
East Greenwich, RI 02818
Phone (401) 398-0288

6 Blackstone Valley Pl
Ste 310
Lincoln, RI 02865

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1457302002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL STE 301",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651112",
            "telephone_number": "508-769-2707",
            "fax_number": "401-305-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL STE 301",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651112",
            "telephone_number": "508-769-2707",
            "fax_number": "401-305-3028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4131 University Blvd S Ste 10",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322164346",
            "country_code": "US",
            "telephone_number": "508-769-2707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENCOMPASS CARE COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "BERGUS",
        "authorized_official_first_name": "BORIS",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-769-2707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Americas Vein Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zion Healing Center Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.