Active NPI
Pax Beatus Health Care & Staffing Agency Inc.
- Home Health Agency
- Medway, MA
National Provider Identifier
1821842964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PAX BEATUS HEALTH CARE & STAFFING AGENCY INC.
- Practice address
- 39 Main St Apt 350
Medway, MA 02053-1791 - Phone
- (339) 298-9381
- NPI assigned
- Apr 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Fedelia N Kemembin
- Title
- President and Ceo
- Phone
- (339) 298-9381
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
39 Main St Apt 350
Medway, MA 02053-1791
Mailing address
39 Main St Apt 350
Medway, MA 02053-1791
Phone (339) 298-9381
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714521600000",
"number": "1821842964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 MAIN ST APT 350",
"city": "MEDWAY",
"state": "MA",
"postal_code": "020531791",
"telephone_number": "339-298-9381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 MAIN ST APT 350",
"city": "MEDWAY",
"state": "MA",
"postal_code": "020531791",
"telephone_number": "339-298-9381"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAX BEATUS HEALTH CARE & STAFFING AGENCY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-15",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A",
"authorized_official_last_name": "KEMEMBIN",
"authorized_official_first_name": "FEDELIA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "339-298-9381",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medway, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.