Organization Active NPI

Sons of Divine Providence,Inc.

  • Adult Day Care Clinic/Center
  • East Boston, MA
National Provider Identifier
1902923402
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SONS OF DIVINE PROVIDENCE,INC.
Practice address
111 Orient Ave
East Boston, MA 02128-1006
Phone
(617) 569-2100
Fax
(617) 561-1138
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joann Demayo
Title
Business Office
Phone
(617) 569-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X MA Primary

Addresses

Primary practice location

111 Orient Ave
East Boston, MA 02128-1006

Mailing address

111 Orient Ave
East Boston, MA 02128-1006
Phone (617) 569-2100

Other identifiers 1

IdentifierTypeStateIssuer
1905490MedicaidMA

Other names 1

  • Don Orione Adult Day Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902923402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ORIENT AVE",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281006",
            "telephone_number": "617-569-2100",
            "fax_number": "617-561-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ORIENT AVE",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281006",
            "telephone_number": "617-569-2100",
            "fax_number": "617-561-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONS OF DIVINE PROVIDENCE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMAYO",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "BUSINESS OFFICE",
        "authorized_official_telephone_number": "617-569-2100"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1905490",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Don Orione Adult Day",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Boston, MA

Sources for this page

  • 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.