Elder Day Services of SWC Inc

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

ELDER DAY SERVICES OF SWC INC

Practice address

196 West Main St
Dudley, MA 01571-1497

Phone

(508) 949-3598

Fax

(508) 949-3598

NPI assigned

Feb 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth A Racicot

Title

Owner

Phone

(508) 949-3598

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831224443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 WEST MAIN ST",
            "city": "DUDLEY",
            "state": "MA",
            "postal_code": "015711497",
            "telephone_number": "508-949-3598",
            "fax_number": "508-949-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 WEST MAIN ST",
            "city": "DUDLEY",
            "state": "MA",
            "postal_code": "015711497",
            "telephone_number": "508-949-3598",
            "fax_number": "508-949-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER DAY SERVICES OF SWC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RACICOT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-949-3598",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Desmarais
• Dudley-Charlton Reg School
• Denise S. Duplessis, MS, PCNS
• Cheryl Duval, RN, HEALTH EDUCATOR
• Marydinna Ekeh
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• Jessica Figueroa
• Brenda Marie Floria, PHARMACIST
• Jennifer Gancarz
• Chelsea Gion, M.S., CCC-SLP

• Contractor in Dudley, MA
• Providers in Dudley, MA by specialty
• Contractor 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.