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OUR FAMILY CIRCLE NPI 1225321847


NPI Information

NPI: 1225321847
Provider Name: OUR FAMILY CIRCLE

Doing Business As: CANAS

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 22D2105087

Address:
99 GUION STREET
SPRINGFIELD, MA
ZIP 01104
Phone: (413) 746-0777
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OUR FAMILY CIRCLE is an adult day care clinic center in Springfield, MA. OUR FAMILY CIRCLE NPI is 1225321847. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Canas.

The provider's business location address is:

99 GUION STREET
SPRINGFIELD, MA
ZIP 01104-001
Phone: (413) 746-0777
Fax: (413) 746-0630

The provider's authorized official is Susan R Redd-garcelon .
The authorized official title is Vice President/quality Improvement and has the following contact phone number (508) 733-2552.

The CLIA number assigned to this NPI record is 22D2105087 - other - adult day health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2011 and was last updated on 2/27/2023.


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
1171M00000XCase Manager/Care CoordinatorNo
2385H00000XRespite Care385H0000XMASSACHUSETTSNo
3261QA0600XClinic/CenterAdult Day CareYes

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
1110090307AMEDICAIDMASSACHUSETTS

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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