NPIMap

Organization Active NPI

Priority Professional Care,LLC

  • Foster Care Agency
  • Mattapan, MA
National Provider Identifier
1477970218
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
PRIORITY PROFESSIONAL CARE,LLC
Practice address
1613 Blue Hill Ave Ste 302
Mattapan, MA 02126-2114
Phone
(857) 598-4774
NPI assigned
Mar 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Georges Ducheine, REGISTERED NURSE
Title
Staff Nurse
Phone
(781) 771-1514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

1613 Blue Hill Ave Ste 302
Mattapan, MA 02126-2114

Mailing address

36 Plain St
Randolph, MA 02368-4922
Phone (781) 771-1514

Other names 1

  • Adult Foster Care Other name

National Provider Directory

National Provider Directory

Locations

1613 Blue Hill Ave
Ste 302
Mattapan, MA 02126
Phone (857) 598-4774

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1477970218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PLAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684922",
            "telephone_number": "781-771-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 BLUE HILL AVE STE 302",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262114",
            "telephone_number": "857-598-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY PROFESSIONAL CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "DUCHEINE",
        "authorized_official_first_name": "GEORGES",
        "authorized_official_title_or_position": "STAFF NURSE",
        "authorized_official_telephone_number": "781-771-1514",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Foster Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mattapan, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.