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DERIVIERE HEALTH CARE STAFFING INC NPI 1023627049


NPI Information

NPI: 1023627049
Provider Name: DERIVIERE HEALTH CARE STAFFING INC
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
100 MERRIMACK ST STE 306
LOWELL, MA
ZIP 01852
Phone: (617) 223-7463
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DERIVIERE HEALTH CARE STAFFING INC is a nursing care in Lowell, MA. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. DERIVIERE HEALTH CARE STAFFING INC NPI is 1023627049. The provider is registered as an organization entity type.

The provider's business location address is:

100 MERRIMACK ST STE 306
LOWELL, MA
ZIP 01852-706
Phone: (617) 223-7463
Fax: (888) 811-5268

The provider's authorized official is Wichnite Deriviere .
The authorized official title is Administrator and has the following contact phone number (617) 223-7463.

The enumeration date for this NPI number is 7/27/2020 and was last updated on 7/27/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthNo
2251F00000XHome InfusionNo
3251G00000XHospice Care, Community BasedNo
4251J00000XNursing CareYes
5251K00000XPublic Health or WelfareNo
6314000000XSkilled Nursing FacilityNo
7171M00000XCase Manager/Care CoordinatorNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110092881AMEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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