Basic Information
Provider Information | |||||||||
NPI: | 1922237668 | ||||||||
EntityType: | 2 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: | HEALTHCARE OPTIONS, INC | ||||||||
LastName: |   | ||||||||
FirstName: |   | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: |   | ||||||||
OtherOrganizationName: | MANSFIELD ADULT DAY HEALTH CENTER | ||||||||
OtherOrganizationType: | 3 | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 10 EMORY ST | ||||||||
Address2: |   | ||||||||
City: | ATTLEBORO | ||||||||
State: | MA | ||||||||
PostalCode: | 027033002 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5082220118 | ||||||||
FaxNumber: | 5082225871 | ||||||||
Practice Location | |||||||||
Address1: | 300 BRANCH ST | ||||||||
Address2: |   | ||||||||
City: | MANSFIELD | ||||||||
State: | MA | ||||||||
PostalCode: | 020482823 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5082220118 | ||||||||
FaxNumber: |   | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 07/02/2009 | ||||||||
LastUpdateDate: | 07/02/2009 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: |   | ||||||||
AuthorizedOfficialLastName: | TRIER | ||||||||
AuthorizedOfficialFirstName: | KATHLEEN | ||||||||
AuthorizedOfficialMiddleName: | M | ||||||||
AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR AND CEO | ||||||||
AuthorizedOfficialTelephone: | 5082220118 | ||||||||
IsSoleProprietor: |   | ||||||||
IsOrganizationSubpart: | Y | ||||||||
ParentOrganizationLBN: | COMMUNITY HEALTH SYSTEMS, INC | ||||||||
AuthorizedOfficialNamePrefix: | MS. | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA0600X |   |   | Y |   | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care |
No ID Information.