Family Rehabilitation Services, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0465 Issued in MA

Legal business name

FAMILY REHABILITATION SERVICES, INC.

Practice address

133 Hancock St
Dorchester, MA 02125-2136

Phone

(617) 265-5221

NPI assigned

Sep 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. George Gougian

Title

Administrator

Phone

(617) 265-5221

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hancock Skilled Nursing and Rehabilitation Doing business as

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790771426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 HANCOCK ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021252136",
            "telephone_number": "617-265-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 HANCOCK ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021252136",
            "telephone_number": "617-265-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY REHABILITATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOUGIAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "617-265-5221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920401",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hancock Skilled Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Christine Farrell-Riley, MD
• Fathers' Uplift Family Group, LLC
• Carmencita Feaster

• Skilled Nursing Facility in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Skilled Nursing Facility 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.