Healthcare Provider Details

I. General information

NPI: 1376687681
Provider Name (Legal Business Name): THE COMMUNITY FAMILY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 SCHOOL ST
EVERETT MA
02149-3440
US

IV. Provider business mailing address

391 BROADWAY SUITE 201
EVERETT MA
02149-3470
US

V. Phone/Fax

Practice location:
  • Phone: 617-389-4500
  • Fax: 617-389-3761
Mailing address:
  • Phone: 617-381-6248
  • Fax: 617-381-6249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number1900862
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number1905511
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number1900366
License Number StateMA

VIII. Authorized Official

Name: MS. ANNE M. MARCHETTA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 617-381-6248