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MARVEL LAROSE
NPI 1407209620
Foster Care Agency in Randolph, MA

Active since July 22, 2016PECOS EnrolledAccepts Medicare Assignment
217 CHESTNUT ST, RANDOLPH, MA 02368(857) 991-0110 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 5, 2025, Jun 27, 2025, Oct 29, 2019 (3 updates tracked since 2019).

About Marvel Larose NPPES

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

MARVEL LAROSE (NPI 1407209620) is an individual foster care agency provider in Randolph, Massachusetts and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407209620
Entity TypeIndividualMale
Primary Taxonomy253J00000X
Provider Legal NameMARVEL LAROSE
Location Address217 CHESTNUT STRandolph, MA 02368-2407
Mailing Address101 S Main StRandolph, MA 02368-4896 · (857) 991-0110
Phone(857) 991-0110
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 22, 2016
Last NPPES UpdateDecember 5, 20253 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1407209620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFoster Care AgencyAgencies
Taxonomy Code253J00000X
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License RN2292446 (MA)
217 CHESTNUT ST, Randolph, MA 02368
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marvel Larose is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517390826
PECOS Enrollment IDI20260224003356
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Marvel Larose's NPI number?

The NPI number for Marvel Larose is 1407209620. It was assigned to this individual provider in the NPPES registry on July 22, 2016.

Where is Marvel Larose located?

Marvel Larose practices at 217 Chestnut St, Randolph, MA 02368. The listed phone number is (857) 991-0110.

What is Marvel Larose's specialty?

The primary specialty registered for this NPI is Foster Care Agency with taxonomy code 253J00000X.

Is Marvel Larose enrolled in Medicare?

Yes. Marvel Larose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Marvel Larose was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.