Healthcare Provider Details
I. General information
NPI: 1396866992
Provider Name (Legal Business Name): FAMILY SERVICE ASSOCIATION OF GREATER FALL RIVER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
101 ROCK ST 2ND FLOOR HOME ASSISTANCE PROGRAM
FALL RIVER MA
02720-3133
US
IV. Provider business mailing address
PO BOX 70
FALL RIVER MA
02722-0070
US
V. Phone/Fax
- Phone: 508-677-3822
- Fax: 508-676-1640
- Phone: 508-677-3822
- Fax: 508-673-7056
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WC0400X |
| Taxonomy | Case Management Registered Nurse |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
CAROL
A
NAGLE
Title or Position: CEO
Credential: MS
Phone: 508-677-3822