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PEABODY RESIDENT SERVICES INC NPI 1124236724


NPI Information

NPI: 1124236724
Provider Name: PEABODY RESIDENT SERVICES INC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
536 GRANITE ST
BRAINTREE, MA
ZIP 02184
Phone: (781) 794-1000
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PEABODY RESIDENT SERVICES INC is an adult care home custodial care facility in Braintree, MA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. PEABODY RESIDENT SERVICES INC NPI is 1124236724. The provider is registered as an organization entity type.

The provider's business location address is:

536 GRANITE ST
BRAINTREE, MA
ZIP 02184-952
Phone: (781) 794-1000
Fax: (781) 794-1087

The provider's authorized official is Doreen M Bushashia .
The authorized official title is Director Of Resident Services and has the following contact phone number (781) 794-1000.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 8/22/2020.


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
1311ZA0620XCustodial Care FacilityAdult Care Home1902563MASSACHUSETTSYes

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
1902563MEDICAIDMASSACHUSETTS

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: 11/14/2023

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