COOPERATIVE ELDER SERVICES, INC. (NPI# 1689719908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689719908 |
Entity Type | Organization |
Organization Name | COOPERATIVE ELDER SERVICES, INC. |
Practice Address |
9 Meriam St Suite 28 Lexington MA 02420-5300 |
Practice Telephone | 7818632261 |
Practice Fax Number | 7818631477 |
Mailing Telephone | 7818632261 |
Mailing Fax Number | 7818631477 |
Enumeration Date | 2007-02-21 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. JOANNA CAROL FULLER (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 7818632261 |
Authorized Official Credential | MSSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
MA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 1905228 | 05 | |
MA | 1900846 | 05 | |
MA | 1902628 | 05 | |
MA | 1900544 | 05 | |
MA | 1902148 | 05 | |
MA | 1901753 | 05 |
Street Address |
9 MERIAM ST SUITE 28 |
City | LEXINGTON |
State | MA |
Zip Code | 02420-5300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104816164 | Cynthia S. Tavilla | Psychologist | 9 Meriam St, . Suite 25, Lexington, MA 02420-5300 | 2005-10-21 |
1669764510 | Elisa Elkin Cleary | Social Worker | 9 Meriam St, Unit 18, Lexington, MA 02420-5300 | 2011-05-11 |
1639281819 | Wera Nopnirapath | Acupuncturist | 9 Meriam St, Suite 16, Lexington, MA 02420-5300 | 2006-08-31 |
1861507667 | Catherine R Kimble | Psychiatry & Neurology | 9 Meriam St, Suite #22, Lexington, MA 02420-5300 | 2006-08-20 |
1356362636 | Joseph C Skolnik | Social Worker | 9 Meriam St, Ste 18, Lexington, MA 02420-5300 | 2006-07-21 |
1255352639 | Lynne D Feldman | Social Worker | 9 Meriam St, Ste 18, Lexington, MA 02420-5300 | 2006-07-21 |
1376528075 | Stephanie Robin Brody | Psychologist | 9 Meriam St, Suite #22, Lexington, MA 02420-5300 | 2005-12-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568958643 | Kristen Gargiulo | Physical Therapist | 57 Bedord Street, Ste 202, Lexington, MA 02420 | 2018-07-02 |
1902311616 | Lindsey Nicole Wilcox | Physical Therapist | 57 Bedford St Ste 202, Lexington, MA 02420 | 2017-12-05 |
1629590443 | Jeffrey Phillip Winer | Psychologist | 57 Bedford St Ste 230, Lexington, MA 02420 | 2017-07-13 |
1235678178 | Rebecca Munini | Counselor | 76 Bedford Street, Suite 12, Office 1, Lexington, MA 02420 | 2017-02-13 |
1700332376 | Aretha Cohen | Speech-Language Pathologist | 840 Emerson Gardens Road, Excel Center, Lexington, MA 02420 | 2016-09-01 |
1710387915 | Niravkumar Patel | Internal Medicine | 4 Hadley Rd, Lexington, MA 02420 | 2014-08-26 |
1316368749 | Triad Adolescent Services | Counselor | 363 Mass Ave, Suite 204, Lexington, MA 02420 | 2014-01-03 |
1447698063 | Emily Flier Matteodo | Psychiatry & Neurology | 35 Bedford Street, Suite #6, Lexington, MA 02420 | 2013-06-05 |
1780941914 | Varun Kapur | Surgery | 33 York St, Lexington, MA 02420 | 2012-04-12 |
1992091433 | Karolyn Mary Franz | Acupuncturist | 238 Bedford St Ste 5, Lexington, MA 02420 | 2011-06-23 |
Find all providers in zip 02420 |
Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
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1588876643 | Eliot Community Human Services, Inc. | Clinic/Center | 125 Hartwell Ave, Lexington, MA 02421-3100 | 2007-05-03 |
Find all providers in LEXINGTON |
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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.