Provider Demographics
NPI:1376687681
Name:THE COMMUNITY FAMILY, INC.
Entity Type:Organization
Organization Name:THE COMMUNITY FAMILY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARCHETTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-381-6248
Mailing Address - Street 1:391 BROADWAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EVERETT
Mailing Address - State:MA
Mailing Address - Zip Code:02149-3470
Mailing Address - Country:US
Mailing Address - Phone:617-381-6248
Mailing Address - Fax:617-381-6249
Practice Address - Street 1:138 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:MA
Practice Address - Zip Code:02149-3440
Practice Address - Country:US
Practice Address - Phone:617-389-4500
Practice Address - Fax:617-389-3761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1900366261QA0600X
MA1900862261QA0600X
MA1905511261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1900862Medicaid
MA1900366Medicaid
MA1905511Medicaid