Organization Active NPI

Priority Home Care Services

  • Home Health Agency
  • Roslindale, MA
National Provider Identifier
1609053586
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7373 Issued in MA
Legal business name
PRIORITY HOME CARE SERVICES
Practice address
17 Poplar Street
Suite 4
Roslindale, MA 02131-4302
Phone
(617) 323-2276
Fax
(617) 323-2294
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Ms. Tekum Fomum Pentocoster
Title
Director
Phone
(617) 323-2276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7373 MA Primary

Addresses

Primary practice location

17 Poplar Street
Suite 4
Roslindale, MA 02131-4302

Mailing address

17 Poplar St
Suite 4
Roslindale, MA 02131-2505
Phone (617) 323-2276

Other identifiers 1

IdentifierTypeStateIssuer
7373OtherMAMA PERSONAL CARE, HOMEMAKER LICENSE

National Provider Directory

National Provider Directory

Locations

17 Poplar St
Ste 4
Roslindale, MA 02131
Phone (617) 323-2276

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1609053586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 POPLAR ST",
            "address_2": "SUITE 4",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021312505",
            "telephone_number": "617-323-2276",
            "fax_number": "617-323-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 POPLAR STREET",
            "address_2": "SUITE 4",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021314302",
            "telephone_number": "617-323-2276",
            "fax_number": "617-323-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "PENTOCOSTER",
        "authorized_official_first_name": "TEKUM",
        "authorized_official_middle_name": "FOMUM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-323-2276",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "7373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA PERSONAL CARE, HOMEMAKER LICENSE",
            "identifier": "7373",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslindale, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.