NPIMap

Organization Active NPI

Old Colony Elderly Services, Inc.

  • Case Management Agency
  • Brockton, MA
National Provider Identifier
1609998467
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
OLD COLONY ELDERLY SERVICES, INC.
Practice address
144 Main St
2ND Floor
Brockton, MA 02301-4046
Phone
(508) 584-1561
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Diana L Digiorgi
Title
Executive Director
Phone
(508) 584-1561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

144 Main St
2ND Floor
Brockton, MA 02301-4046

Mailing address

144 Main St
2ND Floor
Brockton, MA 02301-4046
Phone (508) 584-1561

Other identifiers 1

IdentifierTypeStateIssuer
1948539MedicaidMA

Other names 1

  • Personal Care Management Agency Other name

National Provider Directory

National Provider Directory
Tax ID family
Old Colony Elderly Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

144 Main St
Fl 2
Brockton, MA 02301
Phone (508) 584-1561

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609998467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014046",
            "telephone_number": "508-584-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014046",
            "telephone_number": "508-584-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD COLONY ELDERLY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIGIORGI",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-584-1561",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1948539",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal Care Management Agency",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.