Healthcare Provider Details

I. General information

NPI: 1578491205
Provider Name (Legal Business Name): THEODOSS MULTI SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 CENTRE ST STE 2B
BROCKTON MA
02302-3366
US

IV. Provider business mailing address

720 CENTRE ST STE 2B
BROCKTON MA
02302-3366
US

V. Phone/Fax

Practice location:
  • Phone: 508-545-7858
  • Fax:
Mailing address:
  • Phone: 508-545-7858
  • Fax: 339-244-0692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1744G0900X
TaxonomyGraphics Designer
License Number
License Number State

VIII. Authorized Official

Name: MALIDA THEODORE
Title or Position: PRESIDENT
Credential:
Phone: 508-545-7858