North Shore Elder Services, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

NORTH SHORE ELDER SERVICES, INC.

Practice address

152 Sylvan St
Danvers, MA 01923-3568

Phone

(978) 750-4540

Fax

(978) 750-8053

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Paul Edward Brindamour

Title

Fiscal Director

Phone

(978) 624-2237

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801014600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 SYLVAN ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233568",
            "telephone_number": "978-750-4540",
            "fax_number": "978-750-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 SYLVAN ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233568",
            "telephone_number": "978-750-4540",
            "fax_number": "978-750-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE ELDER SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRINDAMOUR",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "FISCAL DIRECTOR",
        "authorized_official_telephone_number": "978-624-2237",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902016",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• North Shore Elder Services, Inc.
• North Shore Eye Specialists
• North Shore Nurse Practitioner Associates, LLC
• North Shore Pediatrics, PC
• North Shore Sports Medical Center of Danvers, LLC

• Voluntary or Charitable Agency in Danvers, MA
• Providers in Danvers, MA by specialty
• Voluntary or Charitable 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.