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COOPERATIVE ELDER SERVICES INC. NPI 1689719908


NPI Information

NPI: 1689719908
Provider Name: COOPERATIVE ELDER SERVICES, INC.
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
9 MERIAM ST
SUITE 28
LEXINGTON, MA
ZIP 02420
Phone: (781) 863-2261
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COOPERATIVE ELDER SERVICES, INC. is an adult day care clinic center in Lexington, MA. COOPERATIVE ELDER SERVICES, INC. NPI is 1689719908. The provider is registered as an organization entity type.

The provider's business location address is:

9 MERIAM ST
SUITE 28
LEXINGTON, MA
ZIP 02420-300
Phone: (781) 863-2261
Fax: (781) 863-1477

The provider's authorized official is Joanna Carol Fuller .
The authorized official title is Executive Director and has the following contact phone number (781) 863-2261.

The enumeration date for this NPI number is 2/21/2007 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
1261QA0600XClinic/CenterAdult Day CareMASSACHUSETTSYes

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
11905228MEDICAIDMASSACHUSETTS
21900846MEDICAIDMASSACHUSETTS
31902628MEDICAIDMASSACHUSETTS
41900544MEDICAIDMASSACHUSETTS
51902148MEDICAIDMASSACHUSETTS
61901753MEDICAIDMASSACHUSETTS

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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