Active NPI
Preparatory Rehabilitation for Individual Development & Employment, in
- Personal Care Attendant
- Taunton, MA
National Provider Identifier
1609082965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- PREPARATORY REHABILITATION FOR INDIVIDUAL DEVELOPMENT & EMPLOYMENT, IN
- Practice address
- 3 Maple St
Taunton, MA 02780-3012 - Phone
- (508) 823-7134
- Fax
- (508) 824-5699
- NPI assigned
- May 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jean A. Goldsberry
- Title
- Executive Director
- Phone
- (508) 823-7134
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
3 Maple St
Taunton, MA 02780-3012
Mailing address
3 Maple St
Taunton, MA 02780-3012
Phone (508) 823-7134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1904213 | Medicaid | MA |
National Provider Directory
National Provider Directory- Tax ID family
- Preparatory Rehabilitation for Individual Development Employment in
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Care Home Facility
- Taunton, MA
- NPI 1174739429
-
- Day Training/Habilitation Specialist
- Taunton, MA
- NPI 1518091875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214784000000",
"number": "1609082965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MAPLE ST",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027803012",
"telephone_number": "508-823-7134",
"fax_number": "508-824-5699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 MAPLE ST",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027803012",
"telephone_number": "508-823-7134",
"fax_number": "508-824-5699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREPARATORY REHABILITATION FOR INDIVIDUAL DEVELOPMENT & EMPLOYMENT, IN",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2008-06-30",
"status": "A",
"authorized_official_last_name": "GOLDSBERRY",
"authorized_official_first_name": "JEAN",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "508-823-7134",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1904213",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Taunton, MA
- Ann Louise Potter, M.D.
- Kaela Powell Cobbs
- Jordan Preeper,
- Preparatory Rehabilitation for Individual Development & Employment, in
- Preparatory Rehabilitation for Individual Development & Employment, in
- Preparatory Rehabilitation for Individual Development and Employment
- Preparatory Rehabilitation for Individual Development and Employment,
- Louise Preti, RN-BC, M.ED.
- Preventive Medicine Associates (Taunton Family Practice)
- Susan P. Prewandowski, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.