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UPHAM'S ELDER SERVICE PLAN
NPI 1316023195
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Dorchester, MA

Active since October 27, 2006
1140 DORCHESTER AVE, DORCHESTER, MA 02125(617) 288-0970(617) 474-0757 Get Directions Write a Review

NPPES record last updated: July 12, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Upham's Elder Service Plan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UPHAM'S ELDER SERVICE PLAN (NPI 1316023195) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Dorchester, Massachusetts and active in the NPI registry since October 2006. The organization lists Jagdeep Trivedi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316023195
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameUPHAM'S CORNER HEALTH COMMITTEE, INC.
Location Address1140 DORCHESTER AVEDorchester, MA 02125-3305
Mailing Address500 Columbia RdDorchester, MA 02125-2322 · (617) 288-0970 · Fax (617) 282-8625
Phone(617) 288-0970
Fax(617) 474-0757
Organization SubpartNo
Authorized OfficialJagdeep TrivediCeo · (617) 740-8131
Enumeration DateOctober 27, 2006
Last NPPES UpdateJuly 12, 2017
✔ NPI 1316023195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
Taxonomy Code251T00000X
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
1140 DORCHESTER AVE, Dorchester, MA 02125
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Other Names 1

Doing Business AsUpham's Elder Service Plan

Other Identifiers 2

Medicaid1803344MA
Medicare ID-Type UnspecifiedH2220

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARICELY PEREZ-ALERS PT
Physical Therapist
1140 DORCHESTER AVE
DORCHESTER, MA 02125
Suffolk County (617) 474-0756
IRLANDE PLANCHER RN
Registered Nurse (Home Health)
1140 DORCHESTER AVE
DORCHESTER, MA 02125
Suffolk County (617) 288-0970
MRS. COLLEEN MCDONOUGH HAPPAS COTA/L
Occupational Therapy Assistant
1140 DORCHESTER AVE
DORCHESTER, MA 02125
Suffolk County (617) 288-0970
BRITTANY MCLAREN LCSW
Social Worker (Clinical)
1140 DORCHESTER AVE
BOSTON, MA 02125
Suffolk County (617) 440-1615
SUSAN FRANCES CAVANAUGH LCSW
Social Worker (Clinical)
1140 DORCHESTER AVE
DORCHESTER, MA 02125
Suffolk County (617) 288-0970
JACINTA UCHENNA NDUGBA RN
Registered Nurse
1140 DORCHESTER AVE
DORCHESTER, MA 02125
Suffolk County (617) 288-0970
MRS. KATHLEEN SPEHAR BYRON MSW
Social Worker
1140 DORCHESTER AVE
DORCHESTER, MA 02125
Suffolk County (617) 288-0970
MS. DEBORAH JANE BARNES FNP
Nurse Practitioner (Family)
1140 DORCHESTER AVE
DORCHESTER, MA 02125
Suffolk County (617) 288-0970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Upham's Corner Health Committee, Inc.'s NPI number?

The NPI number for Upham's Corner Health Committee, Inc. is 1316023195. It was assigned to this organization in the NPPES registry on October 27, 2006. The provider is doing business as Upham's Elder Service Plan.

Where is Upham's Corner Health Committee, Inc. located?

Upham's Corner Health Committee, Inc. is located at 1140 Dorchester Ave, Dorchester, MA 02125. The listed phone number is (617) 288-0970.

What is Upham's Corner Health Committee, Inc.'s specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

When was this NPI record last updated?

The NPPES record for Upham's Corner Health Committee, Inc. was last updated on July 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.