Provider Demographics
NPI:1508448101
Name:A ONE COMMUNITY INCLUSION SERVICES, LLC
Entity Type:Organization
Organization Name:A ONE COMMUNITY INCLUSION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEVRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-866-3191
Mailing Address - Street 1:141 MILTON ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-2936
Mailing Address - Country:US
Mailing Address - Phone:781-866-3191
Mailing Address - Fax:
Practice Address - Street 1:141 MILTON ST UNIT 2
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-2936
Practice Address - Country:US
Practice Address - Phone:781-866-3191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health