Provider Demographics
NPI:1588785877
Name:FAMILY SERVICE ASSOCIATION OF GREATER FALL RIVER
Entity type:Organization
Organization Name:FAMILY SERVICE ASSOCIATION OF GREATER FALL RIVER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:A
Authorized Official - Last Name:NAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:508-677-3822
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02722-0070
Mailing Address - Country:US
Mailing Address - Phone:508-677-3822
Mailing Address - Fax:508-679-6129
Practice Address - Street 1:228 NORTH MAIN STREET
Practice Address - Street 2:FIRST BAPTIST CHURCH ADULT DAY HEALTH II
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720
Practice Address - Country:US
Practice Address - Phone:508-677-1726
Practice Address - Fax:508-679-6129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
Not Answered251E00000XAgenciesHome HealthGroup - Single Specialty
Not Answered251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1903179Medicaid