South Street Adult Care, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

SOUTH STREET ADULT CARE, LLC

Doing business as

Quality Life Adult Day Services #3

Practice address

209 South St
Holyoke, MA 01040-3611

Phone

(413) 427-9980

NPI assigned

Sep 15, 2015

Organization subpart

No

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

Authorized official

Name

Joann McCluskey

Title

Ex Director

Phone

(413) 427-9980

Specialties & licenses 1

Addresses

Other names 1

• Quality Life Adult Day Services #3 Doing business as

Locations

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1699144162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SOUTH ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010403611",
            "telephone_number": "413-427-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SOUTH ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010403611",
            "telephone_number": "413-427-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH STREET ADULT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "MCCLUSKEY",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "EX DIRECTOR",
        "authorized_official_telephone_number": "413-427-9980"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Life Adult Day Services #3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Soto
• Nancy Soucy, RN
• Sound Physicians of Massachusetts, Inc
• Faith Sousa
• Bernard Joseph Sousse, M.A.
• Erin Southerington
• Jacqueline Spain, MD
• Joselyn Spear
• Nancy Elizabeth Speas, MA CCC-SLP
• Grace Speck

• Nursing Care Agency in Holyoke, MA
• Providers in Holyoke, MA by specialty
• Nursing Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.