Provider Demographics
NPI:1275654568
Name:FAMILY SERVICE ASSOCIATION OF GREATER FALL RIVER, INC.
Entity Type:Organization
Organization Name:FAMILY SERVICE ASSOCIATION OF GREATER FALL RIVER, INC.
Other - Org Name:FAMILY SERVICE ASSOCIATION GENCENTER ADULT DAY HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:A
Authorized Official - Last Name:NAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:508-677-3822
Mailing Address - Street 1:397 BAY ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02724-1513
Mailing Address - Country:US
Mailing Address - Phone:508-677-3822
Mailing Address - Fax:508-679-6129
Practice Address - Street 1:397 BAY ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02724-1513
Practice Address - Country:US
Practice Address - Phone:508-646-0135
Practice Address - Fax:508-646-0197
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY SERVICE ASSOCIATION OF GREATER FALL RIVER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-03
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Not Answered374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1903543Medicaid