NPIMap

Organization Active NPI

Blue Iris Adult Foster Care

  • Case Management Agency
  • Fall River, MA
National Provider Identifier
1780928663
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
BLUE IRIS ADULT FOSTER CARE
Practice address
56 N Main St Ste 229
Fall River, MA 02720-2132
Phone
(508) 567-4819
Fax
(508) 730-6465
NPI assigned
Nov 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Omayra FontanezNPI 1669722054
Title
Program Director
Phone
(401) 450-9717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

56 N Main St Ste 229
Fall River, MA 02720-2132

Mailing address

56 N Main St Ste 229
Fall River, MA 02720-2132
Phone (508) 567-4819

National Provider Directory

National Provider Directory

Locations

56 N Main St
Ste 229
Fall River, MA 02720
Phone (508) 567-4819

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1780928663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 N MAIN ST STE 229",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202132",
            "telephone_number": "508-567-4819",
            "fax_number": "508-730-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 N MAIN ST STE 229",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202132",
            "telephone_number": "508-567-4819",
            "fax_number": "508-730-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE IRIS ADULT FOSTER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "FONTANEZ",
        "authorized_official_first_name": "OMAYRA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "401-450-9717"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.