ELDER SERVICES OF THE MERRIMACK VALLEY, INC. (NPI# 1649390428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649390428 |
| Entity Type | Organization |
| Organization Name | ELDER SERVICES OF THE MERRIMACK VALLEY, INC. |
| Practice Address |
280 Merrimack St Suite 400 Lawrence MA 01843-1779 |
| Practice Telephone | 9786837747 |
| Practice Fax Number | 9786871067 |
| Mailing Telephone | 9786837747 |
| Mailing Fax Number | 9786871067 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2015-04-09 |
| Authorized Official Name | MS. ROSANNE DISTEFANO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9786837747 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MASS HEALTH - PCA | 1906445 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790344711 | Elder Services of The Merrimack Valley, Inc. | Case Management | 280 Merrimack St Ste 400, Lawrence, MA 01843-1787 | 2019-06-12 |
| 1619468659 | Elder Services of The Merrimack Valley, Inc. | Case Manager/Care Coordinator | 280 Merrimack St Ste 400, Lawrence, MA 01843-1787 | 2018-05-25 |
| 1174642490 | Elder Services of The Merrimack Valley, Inc. | Home Health | 360 Merrimack St, Building 5, Lawrence, MA 01843-1740 | 2007-03-28 |
| 1083733307 | Elder Services of The Merrimack Valley, Inc. | Clinic/Center | 280 Merrimack St, Suite 400, Lawrence, MA 01843-1779 | 2007-03-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | ELDER SERVICES OF THE MERRIMACK VALLEY, INC. | 280 Merrimack Street, Suite 400, Lawrence, MA 01843 |
| Street Address |
280 MERRIMACK ST SUITE 400 |
| City | LAWRENCE |
| State | MA |
| Zip Code | 01843-1779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881694180 | Rami Rustum | Anesthesiology | 280 Merrimack St, Suite 103, Lawrence, MA 01843-1779 | 2005-07-28 |
| 1245702521 | Northeast Family Services of Maine | Counselor | 280 Merrimack St, Lawrence, MA 01843-1779 | 2018-12-26 |
| 1942771167 | Stefani Jesenia Abarca | Behavior Technician | 280 Merrimack St, Lawrence, MA 01843-1779 | 2018-12-16 |
| 1164906368 | Lori Lynne Deziel | Social Worker | 280 Merrimack St, Lawrence, MA 01843-1779 | 2018-09-24 |
| 1427536275 | Danielle Pawloski | Social Worker | 280 Merrimack St, Lawrence, MA 01843-1779 | 2018-08-03 |
| 1720514581 | Alyson Hurshman | Counselor | 280 Merrimack St, 400, Lawrence, MA 01843-1779 | 2017-05-11 |
| 1528515103 | Melmark Inc | Day Training, Developmentally Disabled Services | 280 Merrimack St, Suite 107, Lawrence, MA 01843 | 2016-09-01 |
| 1114472719 | Jessica Sosnowski | Social Worker | 280 Merrimack St, Lawrence, MA 01843-1779 | 2016-08-24 |
| 1730530908 | Kristina Jean Brown | Nurse Practitioner | 280 Merrimack St, Lawrence, MA 01843-1779 | 2016-06-28 |
| 1043685126 | Brenda Conlon | Social Worker | 280 Merrimack St, Suite 400, Lawrence, MA 01843-1779 | 2015-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466703 | Jean A Schrow | Student in an Organized Health Care Education/Training Program | 350 Merrimack Street Bldg 5, Lawrence, MA 01843 | 2020-01-23 |
| 1053959049 | Carolyn O'connor | Occupational Therapist | 439 S. Union St, Bldg. 1, Ste. 110, Lawrence, MA 01843 | 2019-12-20 |
| 1578120754 | My Dental Lawrence Pllc | Clinic/Center | My Dental Lawrence Pllc, 465 South Broadway, Lawrence, MA 01843 | 2019-05-23 |
| 1336600071 | Michelle Ann Guillette | Counselor | 360 Merrimack St Bldg. 9, Entrance H, Lawrence, MA 01843 | 2019-03-26 |
| 1629540158 | Kathleen D Coale | Physical Therapist | Heritage Place, Building 1, Suite 101, 439 South Union Street, Lawrence, MA 01843 | 2018-12-21 |
| 1306334933 | Jannice Mari Adorno | Community/Behavioral Health | 34 Farnham Street, Lawrence, MA 01843 | 2018-04-30 |
| 1710489935 | Maureen Lyn Deangelis | Social Worker | Robert Frost Elementary School, 33 Hamlet Street, Lawrence, MA 01843 | 2018-03-03 |
| 1215448733 | Henry Joseph De Lima | Social Worker | 360 Merrimack Street, Bldg 9, 3rd Floor, Lawernce, MA 01843 | 2017-10-24 |
| 1710404090 | Awilda M Pimentel | Counselor | 111 River Pointe Way, Lawrence, MA 01843 | 2017-08-28 |
| 1215454772 | Yu Yu Chen | Counselor | 439 S.union St, Suite 116, Lawrence, MA 01843 | 2017-08-25 |
| Find all providers in zip 01843 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
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|---|---|---|---|---|
| 1366062267 | Brooke M Gross | Technician | 93 Pleasant Ave, East Bridgewater, MA 02333-1327 | 2020-04-21 |
| 1124423892 | Geolina Lewise Reed | Technician | 91 Star St, Apt 3, Fall River, MA 02724-3018 | 2014-10-23 |
| 1235497579 | Whitney Verdieu La Roche | Technician | 27 Monponset St, Mattapan, Boston, MA 02126-3011 | 2012-04-24 |
| 1427375492 | Ann Louise Viera | Technician | 600 New Ipswich Rd, Ashby, MA 01431-1825 | 2010-04-29 |
| 1225363674 | Georgiana Chevry | Technician | 7 Berwick Rd, Medford, MA 02155-6017 | 2009-10-02 |
| 1700913514 | Boston Center for Independent Living, Inc. | Technician | 60 Temple Pl, 5th Floor, Boston, MA 02111-1324 | 2007-02-28 |
| 1649578048 | Angela Narcisse | Technician | 344 Main St Ste 19, Fitchburg, MA 01420-8007 | 2011-03-09 |
| 1548455728 | Baypath Elder Services, Inc. | Technician | 33 Boston Post Rd W, Marlborough, MA 01752-1867 | 2007-09-11 |
| 1609082965 | Preparatory Rehabilitation for Individual Development & Employment, In | Technician | 3 Maple St, Taunton, MA 02780-3012 | 2007-05-15 |
| 1629195094 | Tri-valley, Inc | Technician | 10 Mill St, Dudley, MA 01571-3377 | 2007-03-23 |
| 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.