MEDICARE: RUBEN COMMUNITY LIVING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1952238172
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUBEN COMMUNITY LIVING LLC

Provider Business Mailing Address
First Line	:	4 5TH AVE
Second Line	:
City	:	TAUNTON
State	:	MA
Zip	:	02780-1329
Country	:	US
Telephone Number	:	774-223-9330
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 5TH AVE
Second Line	:
City	:	TAUNTON
State	:	MA
Zip	:	02780-1329
Country	:	US
Telephone Number	:	774-223-9330
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DARLINE RUBEN
Credential	:
Telephone Number	:	774-223-9330

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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