EXECUTIVE RECOVERY COACH, INC (NPI# 1407280118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407280118 |
| Entity Type | Organization |
| Organization Name | EXECUTIVE RECOVERY COACH, INC |
| Other Organization Name | EXECUTIVE HOME DETOX |
| Practice Address |
239 West St Reading MA 01867-2848 |
| Practice Telephone | 7814392603 |
| Mailing Telephone | 7814392603 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |
| Authorized Official Name | MR. WILLIAM PAUL CARRICK (PRESIDENT) |
| Authorized Official Telephone | 7814392603 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | EXECUTIVE RECOVERY COACH, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | 22583743 | NY | Agencies |
| Y | 251J00000X | Nursing Care | 156015 | MA | Agencies |
| Other Name | Type Code |
|---|---|
| Executive Home Detox | Doing Business As Name - Organization |
| Street Address |
239 WEST ST |
| City | READING |
| State | MA |
| Zip Code | 01867-2848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972120749 | Rebecca Cann | Speech-Language Pathologist | 274 Main Street, Suite 312, Reading, MA 01867 | 2020-06-28 |
| 1225670839 | Abc Medical, LLC | Psychiatry & Neurology | 36 Woburn St., Reading, MA 01867 | 2019-10-15 |
| 1922572296 | Perfect Motion Sports Therapy, LLC | Physical Therapist | 61 Endicott Street Building 33, Floor 2, Norwood, MA 01867 | 2019-01-18 |
| 1144791278 | Erica M. Sanchez | Specialist/Technologist | Reading Memorial High School, 62 Oakland Rd, Reading, MA 01867 | 2018-12-16 |
| 1215488937 | Brian D Tedesco, Dpm & George A Abboud, Dpm PC | Podiatrist | 30 Newcrossing Road, Suite 311, Reading, MA 01867 | 2016-10-18 |
| 1215484761 | Kimberly Angelini | Nurse Practitioner | 2 Haven St., Suite 309, Reading, MA 01867 | 2016-09-01 |
| 1790186138 | Mary Hughes | Specialist | 23 Chestnut Road, Reading, MA 01867 | 2014-09-04 |
| 1578807830 | Linda Jane Martin | Physical Therapist | 99 Spruce Rd, Reading, MA 01867 | 2012-11-26 |
| 1639427578 | Keely Oates | Counselor | 127 County Road, Reading, MA 01867 | 2012-08-27 |
| 1295019586 | Arlene Genova | Pharmacist | 45 Harnden St, Reading, MA 01867 | 2011-10-05 |
| Find all providers in zip 01867 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376714832 | Prostat, Inc. | Nursing Care | 1817 Bernville Rd # C, Reading, PA 19601-1157 | 2008-03-12 |
| 1902087869 | Berks County Children and Youth Services | Nursing Care | 633 Court St, 11th Floor, Reading, PA 19601-4302 | 2007-11-20 |
| 1881161685 | La Chance Prophylactic Health Services, LLC | Nursing Care | 60 Lowell St, Reading, MA 01867-2113 | 2018-10-30 |
| 1841554763 | Romar Corporation | Nursing Care | 17 Beechwood Dr, Reading, PA 19606-3133 | 2012-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376163063 | Carefree Pharmacy Inc. | Nursing Care | 22 Fossen Way, Andover, MA 01810-6300 | 2020-04-22 |
| 1972134104 | Destiny Services Inc | Nursing Care | 270 Lawrence St Apt 18, Lowell, MA 01852-3593 | 2020-01-27 |
| 1851938195 | Agile Healthcare Staffing Services LLC | Nursing Care | 702 Irving Rd, Randolph, MA 02368-1882 | 2019-12-05 |
| 1588219935 | Dillard Home Health Care, LLC | Nursing Care | 756 Washington St Ste D, Stoughton, MA 02072-2976 | 2019-08-02 |
| 1235695826 | Daniel Paul Jurczyk | Nursing Care | 531 Wheelwright Rd, Barre, MA 01005-8882 | 2019-02-19 |
| 1639643356 | Bethel Staffing LLC | Nursing Care | 11 Gibbs St Unit 59d, Worcester, MA 01607-2401 | 2019-01-15 |
| 1194203885 | Chantale Joseph Auguste | Nursing Care | 55 Cheever St, Milton, MA 02186-1126 | 2018-08-03 |
| 1073016705 | North Shore United Home Care LLC | Nursing Care | 205 Highland Ave Unit 1107, Salem, MA 01970-2743 | 2018-03-08 |
| 1316449697 | C and N Nursing Services and Homecare | Nursing Care | 225 Stedman St Ste 32, Lowell, MA 01851-2792 | 2018-03-02 |
| 1528573326 | Helping Hands Care Services 4u2bu L.l.c | Nursing Care | 473 Middleboro Ave, East Taunton, MA 02718-5142 | 2017-12-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.