Chelsea Revere Winthrop Home Care Center Inc.,

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CHELSEA REVERE WINTHROP HOME CARE CENTER INC.,

Doing business as

Chelsea Revere Winthrop Elder Services

Practice address

100 Everett Ave
Unit 10
Chelsea, MA 02150-2309

Phone

(617) 884-2500

Fax

(617) 884-7988

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James P. Cunningham Jr.

Title

Executive Director

Phone

(617) 884-2500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chelsea Revere Winthrop Elder Services Doing business as

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750409801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EVERETT AVE",
            "address_2": "UNIT 10",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502309",
            "telephone_number": "617-884-2500",
            "fax_number": "617-884-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EVERETT AVE",
            "address_2": "UNIT 10",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502309",
            "telephone_number": "617-884-2500",
            "fax_number": "617-884-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEA REVERE WINTHROP HOME CARE CENTER INC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-884-2500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0603953",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chelsea Revere Winthrop Elder Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Chelsea, MA
• Providers in Chelsea, MA by specialty
• Case Management Agency in Massachusetts

• 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.