Active NPI
Sankofa Support Services Inc
- Respite Care Camp
- Lowell, MA
National Provider Identifier
1508223785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care Camp
- License
- 385H00000X
- Legal business name
- SANKOFA SUPPORT SERVICES INC
- Practice address
- 463 Merrimack St
Suite 109
Lowell, MA 01854-3945 - Phone
- (978) 376-5450
- NPI assigned
- Jan 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. George B Tuffour, CEO
- Title
- Preisdent
- Phone
- (978) 376-5450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care Camp | 385HR2050X | 385H00000X | MA | Primary |
Addresses
Primary practice location
463 Merrimack St
Suite 109
Lowell, MA 01854-3945
Mailing address
463 Merrimack St
Suite 109
Lowell, MA 01854-3945
Phone (978) 376-5450
Other names 1
- Goodwill Support Services Inc
National Provider Directory
National Provider DirectoryLocations
463 Merrimack St
Ste 109
Lowell, MA 01854
Phone (978) 376-5450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453161600000",
"number": "1508223785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463 MERRIMACK ST",
"address_2": "SUITE 109",
"city": "LOWELL",
"state": "MA",
"postal_code": "018543945",
"telephone_number": "978-376-5450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 MERRIMACK ST",
"address_2": "SUITE 109",
"city": "LOWELL",
"state": "MA",
"postal_code": "018543945",
"telephone_number": "978-376-5450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANKOFA SUPPORT SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-19",
"last_updated": "2016-01-19",
"status": "A",
"authorized_official_last_name": "TUFFOUR",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PREISDENT",
"authorized_official_telephone_number": "978-376-5450",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "385HR2050X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care Camp",
"state": "MA",
"license": "385H00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Goodwill Support Services Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.