NPIMap

Organization Active NPI

Exodus Home

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Dorchester, MA
National Provider Identifier
1588922991
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
License
52621 Issued in MA
Legal business name
EXODUS HOME
Practice address
246 Seaver St
Dorchester, MA 02121-1519
Phone
(617) 541-8800
Fax
(617) 541-8880
NPI assigned
Apr 24, 2012
Last updated
Apr 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Mrs. Louisa Lacombe, HEALTH MANAGER
Title
Director
Phone
(617) 794-2939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 52621 MA Primary

Addresses

Primary practice location

246 Seaver St
Dorchester, MA 02121-1519

Mailing address

246 Seaver St
Dorchester, MA 02121-1519
Phone (617) 541-8800

National Provider Directory

National Provider Directory
Tax ID family
Exodus Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

246 Seaver St
Dorchester, MA 02121
Phone (617) 541-8800

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1588922991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 SEAVER ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021211519",
            "telephone_number": "617-541-8800",
            "fax_number": "617-541-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 SEAVER ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021211519",
            "telephone_number": "617-541-8800",
            "fax_number": "617-541-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXODUS HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "LACOMBE",
        "authorized_official_first_name": "LOUISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-794-2939",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "HEALTH MANAGER"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "MA",
            "license": "52621",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 24, 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.