Provider Demographics
NPI:1043424856
Name:NP CARE OF MASSACHUSETTS LLC
Entity Type:Organization
Organization Name:NP CARE OF MASSACHUSETTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHESS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-925-9600
Mailing Address - Street 1:10 PROGRESS DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-6216
Mailing Address - Country:US
Mailing Address - Phone:203-025-9600
Mailing Address - Fax:203-926-0594
Practice Address - Street 1:131 MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:HATFIELD
Practice Address - State:MA
Practice Address - Zip Code:01038-9786
Practice Address - Country:US
Practice Address - Phone:413-247-5878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9784870Medicaid
MA0000452Medicare PIN
DF9885Medicare PIN