Active NPI
Faye Cobb
- Meals Provider
- Roxbury, MA
National Provider Identifier
1831792100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Meals Provider
- Practice address
- 17 Greenville St
Roxbury, MA 02119-2315 - Phone
- (617) 445-6972
- NPI assigned
- Nov 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | Primary |
Addresses
Primary practice location
17 Greenville St
Roxbury, MA 02119-2315
Mailing address
45 Crescent St # 1
Quincy, MA 02169-4010
Phone (857) 505-9257
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100006636862 | Other | MA | MASS HEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Homeforlittlewanderers.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1831792100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 CRESCENT ST # 1",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694010",
"telephone_number": "857-505-9257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 GREENVILLE ST",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021192315",
"telephone_number": "617-445-6972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "FAYE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS HEALTH",
"identifier": "100006636862",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Homeforlittlewanderers.com",
"affiliation": "N",
"address_1": "17 Greenville St",
"city": "Roxbury",
"state": "MA",
"country_code": "US",
"postal_code": "021192315",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.