Immacula Elderly Care Services Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

IMMACULA ELDERLY CARE SERVICES INC

Practice address

55 Otis St
Medford, MA 02155-4017

Phone

(857) 266-5345

NPI assigned

Apr 8, 2015

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Pierre

Title

Pastor

Phone

(781) 391-1002

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487040390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 COLUMBIA RD",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554507",
            "telephone_number": "857-266-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OTIS ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554017",
            "telephone_number": "857-266-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULA ELDERLY CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PASTOR",
        "authorized_official_telephone_number": "781-391-1002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.