Organization Active NPI

Pedipathways, Inc

  • Community Based Hospice Care Agency
  • North Quincy, MA
National Provider Identifier
1972799005
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
7KR5 Issued in MA
Legal business name
PEDIPATHWAYS, INC
Practice address
440 Hancock St Unit 206
North Quincy, MA 02171-2442
Phone
(617) 774-1350
Fax
(617) 774-1355
NPI assigned
Sep 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Mrs. Melody Edwina White, RN BSN
Title
President /Ceo
Phone
(617) 774-1350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 7KR5 MA Primary

Addresses

Primary practice location

440 Hancock St Unit 206
North Quincy, MA 02171-2442

Mailing address

440 Hancock St Unit 206
North Quincy, MA 02171-2442
Phone (617) 774-1350

Other identifiers 1

IdentifierTypeStateIssuer
1669675310MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1972799005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 HANCOCK ST UNIT 206",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021712442",
            "telephone_number": "617-774-1350",
            "fax_number": "617-774-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 HANCOCK ST UNIT 206",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021712442",
            "telephone_number": "617-774-1350",
            "fax_number": "617-774-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIPATHWAYS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "EDWINA",
        "authorized_official_title_or_position": "PRESIDENT /CEO",
        "authorized_official_telephone_number": "617-774-1350",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MA",
            "license": "7KR5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669675310",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.