1922237668 NPI number — HEALTHCARE OPTIONS, INC

Table of content: (NPI 1922237668)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922237668 NPI number — HEALTHCARE OPTIONS, INC

Organization/Personal Information

Employer Identification Number (EIN):
N/A
Provider Organization Name:
HEALTHCARE OPTIONS, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MANSFIELD ADULT DAY HEALTH CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922237668
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/02/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10 EMORY ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATTLEBORO
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02703-3002
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-222-0118
Provider Business Mailing Address Fax Number:
508-222-5871

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 BRANCH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MANSFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02048-2823
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-222-0118
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/02/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
TRIER
Authorized Official First Name:
KATHLEEN
Authorized Official Middle Name:
M
Authorized Official Title or Position:
EXECUTIVE DIRECTOR AND CEO
Authorized Official Telephone Number:
508-222-0118

Provider Taxonomy Codes

  • Taxonomy code: 261QA0600X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)