NPIMap

Organization Active NPI

Family and Community Resources, Inc.

  • Community/Behavioral Health Agency
  • Brockton, MA
National Provider Identifier
1821159880
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4695 DPH Issued in MA
Legal business name
FAMILY AND COMMUNITY RESOURCES, INC.
Practice address
18 Newton St
Brockton, MA 02301-5115
Phone
(508) 583-6498
Fax
(508) 583-3775
NPI assigned
Dec 13, 2006
Last updated
Feb 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Claudette Kelly
Title
Billing Director
Phone
(508) 583-6498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4695 DPH MA Primary

Addresses

Primary practice location

18 Newton St
Brockton, MA 02301-5115

Mailing address

18 Newton St
Brockton, MA 02301-5115
Phone (508) 583-6498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040429000980 MA Part B Supplier - Clinic/Group Practice 2860489960 Receives reassigned benefits from 2 practitioners
Practice locations: Brockton, MA

National Provider Directory

National Provider Directory

Locations

18 Newton St
Brockton, MA 02301
Phone (508) 583-5498

9 Belmont St
Brockton, MA 02301
Phone (508) 583-6498

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1821159880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 NEWTON ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015115",
            "telephone_number": "508-583-6498",
            "fax_number": "508-583-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 NEWTON ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015115",
            "telephone_number": "508-583-6498",
            "fax_number": "508-583-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND COMMUNITY RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "CLAUDETTE",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "508-583-6498"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "4695 DPH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.