RESIDENTIAL SUPPORT SERVICES (NPI# 1558587584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558587584 |
| Entity Type | Organization |
| Organization Name | RESIDENTIAL SUPPORT SERVICES |
| Practice Address |
100 Bellingham St Chelsea MA 02150-3358 |
| Practice Telephone | 6178846333 |
| Practice Fax Number | 6178843247 |
| Mailing Telephone | 6178846333 |
| Mailing Fax Number | 6178843247 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHEILA TYLUS (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 6178846333 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1904345 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396177549 | Residential Support Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3416 Atlantic Ave, Raleigh, NC 27604-1643 | 2013-07-30 |
| 1215143227 | Residential Support Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2024 3rd Ave N, Billings, MT 59101-2210 | 2007-05-15 |
| Street Address |
100 BELLINGHAM ST |
| City | CHELSEA |
| State | MA |
| Zip Code | 02150-3358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891164232 | Emily Wolcott | Student in an Organized Health Care Education/Training Program | 100 Bellingham St, Chelsea, MA 02150-3358 | 2015-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013540020 | Freyre Figueroa | Counselor | 324 Broadway Apt # Broadway, Chelsea, MA 02150 | 2020-02-18 |
| 1255816740 | Alexander Tsonas | Social Worker | Seaport Academy, 285 Commandants Way, Chelsea, MA 02150 | 2018-10-01 |
| 1669969069 | Kimberly Huffer | Social Worker | 17 Tudor St, Chelsea, MA 02150 | 2018-04-20 |
| 1518468099 | Gladys G. Carrasco Roman | Dentist | 180 Walnut Street, Chelsea, MA 02150 | 2018-02-21 |
| 1700238557 | Healing Hands | Foster Care Agency | 45 Gillooly Road, Chelsea, MASSACHUSETTS (MA) 02150 | 2016-07-05 |
| 1932577293 | Ashlie Lynn | Physical Therapy Assistant | 255 Central Avenue, Chelsea, MA 02150 | 2015-09-03 |
| 1720464043 | Kali Stewart | Dentist | 950 Broadway Apt 1c, Chelsea, MA 02150 | 2015-08-10 |
| 1780068452 | Keishla Rivera | Preferred Provider Organization | 135 Shawmut St, Chelsea, MA 02150 | 2015-07-13 |
| 1265856066 | Aftercare Services, Inc | Home Health | 125-135 Library St., Chelsea, MA 02150 | 2014-02-13 |
| 1003164732 | Michele Carmi | Social Worker | 310 Brodway, Chelsea, MA 02150 | 2012-08-28 |
| Find all providers in zip 02150 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794641 | Victoria Health Services Inc | Custodial Care Facility | 10 Chase Dr, Sharon, MA 02067-2903 | 2019-11-12 |
| 1376089169 | Theresa Kirby | Custodial Care Facility | 119 Robbins St, Milton, MA 02186-2535 | 2017-01-17 |
| 1518417138 | Helping Hand Adult Say Care Health Center Inc | Custodial Care Facility | 300 Hartwell St, Fall River, MA 02721-2912 | 2016-10-06 |
| 1750831681 | Sweet Home Corp | Custodial Care Facility | 112 Narragansett Blvd, Chicopee, MA 01013-2120 | 2016-10-04 |
| 1336592187 | Bamboo Adult Day Health | Custodial Care Facility | 185 Perkins St, Brockton, MA 02301 | 2016-07-18 |
| 1316390248 | Better Life At Home Inc. | Custodial Care Facility | 292 Salem St, Revere, MA 02151-1000 | 2016-07-15 |
| 1518350875 | Millennium Home Care LLC | Custodial Care Facility | 564 Main St Ste 203, Waltham, MA 02452-5559 | 2015-03-11 |
| 1750772570 | Chika Patience Okerekw-nwankwo | Custodial Care Facility | 22 Marion Street, Randolph, MA 02368 | 2015-02-16 |
| 1962809723 | Medicine On Time Corp. | Custodial Care Facility | 154 Lynnway Unit 508, Lynn, MA 01902-3447 | 2014-11-21 |
| 1467852640 | Good Shepherd Services | Custodial Care Facility | 103 Selwyn Rd, Randolph, MA 02368-5185 | 2014-08-26 |
| 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.