NPIMap

Organization Active NPI

PLKJ Inc.

  • In Home Supportive Care Agency
  • Southbridge, MA
National Provider Identifier
1578830113
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
8148 Issued in MA
Legal business name
PLKJ INC.
Doing business as
visiting angels
Practice address
50 Elm St
Southbridge, MA 01550-2648
Phone
(508) 764-6700
NPI assigned
Nov 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Mr. Keith Richard Jordan
Title
Owner/Administrator
Phone
(508) 764-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 8148 MA Primary

Addresses

Primary practice location

50 Elm St
Southbridge, MA 01550-2648

Mailing address

50 Elm St
Southbridge, MA 01550-2648
Phone (508) 764-6700

Other names 1

  • visiting angels Doing business as

National Provider Directory

National Provider Directory

Locations

50 Elm St
Southbridge, MA 01550
Phone (508) 764-6700

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1578830113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ELM ST",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015502648",
            "telephone_number": "508-764-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ELM ST",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015502648",
            "telephone_number": "508-764-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLKJ INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "508-764-6700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MA",
            "license": "8148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "visiting angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southbridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.