EXODUS HOME (NPI# 1588922991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588922991 |
| Entity Type | Organization |
| Organization Name | EXODUS HOME |
| Practice Address |
246 Seaver St Dorchester MA 02121-1519 |
| Practice Telephone | 6175418800 |
| Practice Fax Number | 6175418880 |
| Mailing Telephone | 6175418800 |
| Mailing Fax Number | 6175418880 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |
| Authorized Official Name | MRS. LOUISA LACOMBE (DIRECTOR) |
| Authorized Official Telephone | 6177942939 |
| Authorized Official Credential | HEALTH MANAGER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
52621 | MA | Respite Care Facility |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | EXODUS HOME BUYERS LLC | 9757 Se 172nd Ave, Happy Valley, OR 97086 |
| Street Address |
246 SEAVER ST |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02121-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750626925 | Exodus Home,inc. | In Home Supportive Care | 246 Seaver St, Dorchester, MA 02121-1519 | 2012-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417502071 | Zion Ventures Inc. | Registered Nurse | 22 Oldfields Road, Apt 1, Boston, MA 02121 | 2019-08-09 |
| 1245758275 | Danna Caliz | Social Worker | 321 Bluehill Ave, Boston, MA 02121 | 2017-08-30 |
| 1619490331 | Rashane Doyle | Developmental Therapist | 39 Mclellan St, Boston, MA 02121 | 2017-07-25 |
| 1134652175 | Sage Family Dental | Dentist | 114 Washington Street, Dorchester, MA 02121 | 2017-04-06 |
| 1619415353 | Khisha Gillham | Registered Nurse | 356 Seaver St, Boston, MA 02121 | 2017-02-02 |
| 1396283149 | Spaulding | Rehabilitation Unit | 356 Sever St, Boston, MA 02121 | 2017-02-01 |
| 1811431935 | Jennifer Latoya Corbin | Social Worker | 321 Blue Hill Avenue, Dorchester, MA 02121 | 2016-12-08 |
| 1932597499 | Sheila Brown | Nurse Practitioner | 218 Humboldt Avenue, Boston, MA 02121 | 2015-01-06 |
| 1629498605 | Liana Marie Williams | Behavioral Analyst | 434 Warren St., Roxbury, MA 02121 | 2014-04-17 |
| 1932547353 | Chandra C Williams | Counselor | 504 Dudley Street, Roxbury, MA 02121 | 2013-06-07 |
| Find all providers in zip 02121 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255673729 | African Heritage International Inc | Respite Care | 738 Main St # 425, Waltham, MA 02451-0616 | 2013-03-22 |
| 1699926162 | King Solomn Humanitarian Foundation | Respite Care | 470 Pine St, Bridgewater, MA 02324-2112 | 2008-10-02 |
| 1972904043 | Community Workshops Inc. | Respite Care | 174 Portland St, Boston, MA 02114-1714 | 2014-09-09 |
| City | DORCHESTER |
| Zip Code | 02121 |
Please comment or provide details below to improve the information on EXODUS HOME.
| 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.