Eliot Community Human Services

Key facts

NPI: 1982914610
Entity type: Organization (NPI type 2)
Primary specialty: In Home Supportive Care Agency 253Z00000X
License: S61428188 (MA)
Legal business name: ELIOT COMMUNITY HUMAN SERVICES
Practice address: 186 Bedford St
Lexington, MA 02420
Phone: (781) 861-0890
Fax: (781) 861-0899
NPI assigned: Oct 15, 2010
Organization subpart: No

Authorized official

Name: Kristen Sault, LICSW
Title: Vice President of Youth Programing
Phone: (781) 861-0890

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Eliot Community Human Services Case Management Agency · Lexington, MA · NPI 1275836934

NPD tax ID
Eliot Community Human Services Community/Behavioral Health Agency · Malden, MA · NPI 1467898668

NPD tax ID
Eliot Community Human Services, Inc. Community/Behavioral Health Agency · Lynn, MA · NPI 1790069532

NPD tax ID

National Provider Directory

Tax ID family: Eliot Community Human Services (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
In Home Supportive Care Agency	253Z00000X	S61428188	MA	Yes

Addresses

Primary practice location

186 Bedford St
Lexington, MA 02420

Mailing address

186 Bedford St
Lexington, MA 02420
Phone (781) 861-0890

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 15, 2010.

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1982914610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 BEDFORD ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "02420",
            "telephone_number": "781-861-0890",
            "fax_number": "781-861-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 BEDFORD ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "02420",
            "telephone_number": "781-861-0890",
            "fax_number": "781-861-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIOT COMMUNITY HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "SAULT",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF YOUTH PROGRAMING",
        "authorized_official_telephone_number": "781-861-0890",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MA",
            "license": "S61428188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

All providers in Lexington, MA · In Home Supportive Care Agency in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.