Khessed Receptive Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KHESSED RECEPTIVE HOME CARE

Practice address

951 Dighton Woods Cir
Dighton, MA 02715-1161

Phone

(774) 322-2550

NPI assigned

Apr 9, 2019

Last updated

Apr 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Oluwadamilola Seun Philip

Title

Chief Executive Officer

Phone

(774) 322-2550

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1770046559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COMMERCE WAY STE 10",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027715823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 DIGHTON WOODS CIR",
            "city": "DIGHTON",
            "state": "MA",
            "postal_code": "027151161",
            "telephone_number": "774-322-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHESSED RECEPTIVE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "PHILIP",
        "authorized_official_first_name": "OLUWADAMILOLA",
        "authorized_official_middle_name": "SEUN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "774-322-2550"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Dighton, MA
• Providers in Dighton, MA by specialty
• In Home Supportive Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.