Organization Active NPI

Alliance Adult Foster Care, LLC

  • Foster Care Agency
  • Worcester, MA
National Provider Identifier
1659091130
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
ALLIANCE ADULT FOSTER CARE, LLC
Practice address
691 Grafton St Ste 5
Worcester, MA 01604-3185
Phone
(774) 243-6471
Fax
(888) 979-8209
NPI assigned
Sep 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Jacqueline Santiago
Title
Owner
Phone
(774) 239-6507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

691 Grafton St Ste 5
Worcester, MA 01604-3185

Mailing address

691 Grafton St Ste 5
Worcester, MA 01604-3185
Phone (774) 243-6471

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL office

National Provider Directory

National Provider Directory

Locations

691 Grafton St
Ste 5
Worcester, MA 01604
Phone (774) 243-6471

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1659091130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 GRAFTON ST STE 5",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016043185",
            "telephone_number": "774-243-6471",
            "fax_number": "888-979-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 GRAFTON ST STE 5",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016043185",
            "telephone_number": "774-243-6471",
            "fax_number": "888-979-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE ADULT FOSTER CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-239-6507"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "office",
            "affiliation": "N",
            "address_1": "691 Grafton St Ste 5",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016043185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.