Healthcare Provider Details

I. General information

NPI: 1578484176
Provider Name (Legal Business Name): COMPASSIONATE ELDER CARE FOUNDATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 SUMMER ST
MALDEN MA
02148-3912
US

IV. Provider business mailing address

58 SUMMER ST
MALDEN MA
02148-3912
US

V. Phone/Fax

Practice location:
  • Phone: 781-588-6281
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: NIKITA FLEURENA
Title or Position: CEO
Credential:
Phone: 781-588-6281