Hope Adult Group Home

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN262190 Issued in MA

Legal business name

HOPE ADULT GROUP HOME

Practice address

96 Oliver St
Avon, MA 02322-1634

Phone

(617) 291-4353

NPI assigned

Jun 21, 2018

Last updated

Jun 21, 2018By 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

Miss Marie Gabrielle Dessalines

Title

Coordinator

Phone

(617) 291-4353

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hope Adult Group Home Other name

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1841784816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 OLIVER ST",
            "city": "AVON",
            "state": "MA",
            "postal_code": "023221634",
            "telephone_number": "617-291-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 OLIVER ST",
            "city": "AVON",
            "state": "MA",
            "postal_code": "023221634",
            "telephone_number": "617-291-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE ADULT GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "DESSALINES",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "GABRIELLE",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "617-291-4353",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MA",
            "license": "RN262190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Adult Group Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Case Management Registered Nurse in Avon, MA
• Providers in Avon, MA by specialty
• Case Management Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.