Healthcare Provider Details

I. General information

NPI: 1821906645
Provider Name (Legal Business Name): COAT IN SERVICE INTEGRATED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 PLEASANT ST # 980
MALDEN MA
02148-4904
US

IV. Provider business mailing address

51 PLEASANT ST # 980
MALDEN MA
02148-4904
US

V. Phone/Fax

Practice location:
  • Phone: 978-267-7324
  • Fax:
Mailing address:
  • Phone: 978-267-7324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROSE DANA PIERRE
Title or Position: MANAGING STAFF
Credential: M.ED ABA
Phone: 267-671-9042