NPIMap

Organization Active NPI

Old Colony YMCA Wellness Services, Inc.

  • Case Management Agency
  • Stoughton, MA
National Provider Identifier
1598587149
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
OLD COLONY YMCA WELLNESS SERVICES, INC.
Practice address
445 Central St
Stoughton, MA 02072-1900
Phone
(781) 341-2016
NPI assigned
Oct 25, 2024
Organization subpart
Yes
Parent organization
OLD COLONY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Charles Clifford
Title
President and Ceo
Phone
(508) 897-1220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

445 Central St
Stoughton, MA 02072-1900

Mailing address

320 Main St
Brockton, MA 02301-5340
Phone (781) 341-2016

National Provider Directory

National Provider Directory
Tax ID family
Old Colony YMCA Wellness Services Inc3 organizations share this tax ID, including this one
Part of
Old Colony Y

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1598587149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015340",
            "telephone_number": "781-341-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CENTRAL ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020721900",
            "telephone_number": "781-341-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD COLONY YMCA WELLNESS SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLD COLONY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "CLIFFORD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "508-897-1220"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.