NPIMap

Organization Active NPI

Cooperative Elder Services, Inc.

  • Adult Day Care Clinic/Center
  • Lexington, MA
National Provider Identifier
1689719908
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
COOPERATIVE ELDER SERVICES, INC.
Practice address
9 Meriam St
Suite 28
Lexington, MA 02420-5300
Phone
(781) 863-2261
Fax
(781) 863-1477
NPI assigned
Feb 21, 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. Joanna Carol Fuller, MSSW
Title
Executive Director
Phone
(781) 863-2261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X MA Primary

Addresses

Primary practice location

9 Meriam St
Suite 28
Lexington, MA 02420-5300

Mailing address

9 Meriam St
Suite 28
Lexington, MA 02420-5300
Phone (781) 863-2261

Other identifiers 6

IdentifierTypeStateIssuer
1902628MedicaidMA
1900544MedicaidMA
1901753MedicaidMA
1905228MedicaidMA
1902148MedicaidMA
1900846MedicaidMA

National Provider Directory

National Provider Directory

Locations

9 Meriam St
Ste 28
Lexington, MA 02420
Phone (781) 863-2261

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689719908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MERIAM ST",
            "address_2": "SUITE 28",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024205300",
            "telephone_number": "781-863-2261",
            "fax_number": "781-863-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MERIAM ST",
            "address_2": "SUITE 28",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024205300",
            "telephone_number": "781-863-2261",
            "fax_number": "781-863-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPERATIVE ELDER SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "781-863-2261",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSSW"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902628",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1900544",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1901753",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1905228",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902148",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1900846",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, 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.