Organization Active NPI

Jarvis Family Services Inc

  • Clinical Social Worker
  • Fall River, MA
National Provider Identifier
1487081691
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JARVIS FAMILY SERVICES INC
Practice address
235 Hanover St Ste 105
Fall River, MA 02720-5254
Phone
(774) 294-5416
Fax
(774) 294-5438
NPI assigned
Oct 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Authorized official

Name
Mr. Mark Steven Jarvis
Title
Director
Phone
(774) 294-5416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X MA Primary

Addresses

Primary practice location

235 Hanover St Ste 105
Fall River, MA 02720-5254

Mailing address

235 Hanover St Ste 105
Fall River, MA 02720-5254
Phone (774) 294-5416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140211001377 MA Part B Supplier - Clinic/Group Practice 1658500863 Receives reassigned benefits from 3 practitioners
Practice locations: Fall River, MA

National Provider Directory

National Provider Directory

Locations

235 Hanover St
Ste 105
Fall River, MA 02720
Phone (774) 294-5416

Practitioners & affiliated clinicians

Practitioners 3

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": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1487081691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 HANOVER ST STE 105",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205254",
            "telephone_number": "774-294-5416",
            "fax_number": "774-294-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 HANOVER ST STE 105",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205254",
            "telephone_number": "774-294-5416",
            "fax_number": "774-294-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARVIS FAMILY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "774-294-5416",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.