NPIMap

Organization Active NPI

Somerville-Cambridge Elder Services

  • Case Management Agency
  • Somerville, MA
National Provider Identifier
1578707980
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
113667 Issued in MA
Legal business name
SOMERVILLE-CAMBRIDGE ELDER SERVICES
Practice address
61 Medford St
Room 330 Executive Director
Somerville, MA 02143-3421
Phone
(617) 628-2601
Fax
(617) 628-1085
NPI assigned
Apr 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Mr. John O'Neill
Title
Executive Director
Phone
(617) 628-2601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 113667 MA Primary

Addresses

Primary practice location

61 Medford St
Room 330 Executive Director
Somerville, MA 02143-3421

Mailing address

61 Medford St
Room 330 Executive Director
Somerville, MA 02143-3421
Phone (617) 628-2601

National Provider Directory

National Provider Directory
Tax ID family
Somerville Cambridge Elder Services7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

61 Medford St
Rm 330
Somerville, MA 02143
Phone (617) 628-2601

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1578707980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MEDFORD ST",
            "address_2": "ROOM 330 EXECUTIVE DIRECTOR",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433421",
            "telephone_number": "617-628-2601",
            "fax_number": "617-628-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MEDFORD ST",
            "address_2": "ROOM 330 EXECUTIVE DIRECTOR",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433421",
            "telephone_number": "617-628-2601",
            "fax_number": "617-628-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERVILLE-CAMBRIDGE ELDER SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-628-2601",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MA",
            "license": "113667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.