NPIMap

Organization Active NPI

Kit Clarke Senior Services

  • Non-emergency Medical Transport (VAN)
  • Dorchester, MA
National Provider Identifier
1578836144
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
KIT CLARKE SENIOR SERVICES
Practice address
22 Beechwood St
Dorchester, MA 02121-3863
Phone
(617) 371-3000
NPI assigned
Feb 13, 2012
Organization subpart
Yes
Parent organization
BAY COVE HUMAN SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Kerry Horgos
Title
Cfo, SVP Finance
Phone
(617) 371-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

22 Beechwood St
Dorchester, MA 02121-3863

Mailing address

66 Canal St
Boston, MA 02114-2002
Phone (617) 371-3000

Other identifiers 1

IdentifierTypeStateIssuer
110073321DMedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Bay Cove Human Services3 organizations share this tax ID, including this one
Part of
Bay Cove Treatment Center

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1578836144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CANAL ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142002",
            "telephone_number": "617-371-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BEECHWOOD ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021213863",
            "telephone_number": "617-371-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIT CLARKE SENIOR SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAY COVE HUMAN SERVICES",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "HORGOS",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "CFO, SVP FINANCE",
        "authorized_official_telephone_number": "617-371-3000"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110073321D",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.