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ELEMENT CARE INC. NPI 1184600660


NPI Information

NPI: 1184600660
Provider Name: ELEMENT CARE, INC.
Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Organization

CLIA Number: 22D1013319

Address:
37 FRIEND ST
LYNN, MA
ZIP 01902
Phone: (781) 715-6620
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ELEMENT CARE, INC. is a program of all inclusive care for the elderly pace provider organization in Lynn, MA. The provider is a PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. ELEMENT CARE, INC. NPI is 1184600660. The provider is registered as an organization entity type.

The provider's business location address is:

37 FRIEND ST
LYNN, MA
ZIP 01902-068
Phone: (781) 715-6620
Fax: (781) 715-6699

The provider's authorized official is Robert P Durante .
The authorized official title is Cfo and has the following contact phone number (781) 715-6620.

The CLIA number assigned to this NPI record is 22D1013319 - health main. organization with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2005 and was last updated on 6/23/2014.


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
1261QA0600XClinic/CenterAdult Day CareNo
2343900000XNon-emergency Medical Transport (VAN)No
3251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization1902601MASSACHUSETTSYes

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
11803298MEDICAIDMASSACHUSETTS
2H2222MEDICARE PINMASSACHUSETTS

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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