NPIMap

Organization Active NPI

Nicholas and Mattie Center for the Homeless

  • In Home Supportive Care Agency
  • Hyde Park, MA
National Provider Identifier
1962177311
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NICHOLAS AND MATTIE CENTER FOR THE HOMELESS
Doing business as
Nicholas and Mattie Center for the Homeless
Practice address
12 Madison St # 1L
Hyde Park, MA 02136-2632
Phone
(860) 840-8774
NPI assigned
Aug 9, 2021
Last updated
Aug 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Authorized official

Name
Mrs. Tenesha Shanks-Okwara, HHP
Title
Founder
Phone
(860) 840-8774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

12 Madison St # 1L
Hyde Park, MA 02136-2632

Mailing address

12 Madison St # 1L
Hyde Park, MA 02136-2632
Phone (860) 840-8774

Other names 1

  • Nicholas and Mattie Center for the Homeless Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1962177311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MADISON ST # 1L",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362632",
            "telephone_number": "860-840-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MADISON ST # 1L",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021362632",
            "telephone_number": "860-840-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS AND MATTIE CENTER FOR THE HOMELESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "SHANKS-OKWARA",
        "authorized_official_first_name": "TENESHA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "860-840-8774",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "HHP"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicholas and Mattie Center for the Homeless",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hyde Park, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.