Izadora T Theodore
Case Manager/Care Coordinator in Randolph, Massachusetts
1497554232- Practice location
- 400 N Main St, Randolph, MA 02368-4177
- Phone
- 781-885-0277
- Fax
- —
- Last updated
- March 12, 2025
Izadora Thamie Theodore is a Case Manager/Care Coordinator based in Randolph, MA. Izadora Thamie Theodore practices in Randolph, MA. The NPI Number for Izadora Thamie Theodore is 1497554232. The current practice location address for Izadora Thamie Theodore is 400 N Main St, Randolph, MA 02368-4177 and can be reached out via phone at 781-885-0277.
Provider Profile Details
- NPI Number
- 1497554232
- Provider Name
- Izadora Thamie Theodore
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 400 N Main St, Randolph, MA 02368-4177
- Phone Number
- 781-885-0277
- Primary Taxonomy
- Case Manager/Care Coordinator · 171M00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 12, 2025
- Last Update Date
- March 12, 2025
- Certification Date
- March 12, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 400 N Main St
Randolph, MA 02368-4177 - City
- Randolph
- State
- Massachusetts
- Zip
- 02368-4177
- Phone Number
- 781-885-0277
Provider Business Mailing Address Details
- Address
- 79 Kennedy RD
Stoughton, MA 02072-3814 - City
- Stoughton
- State
- MA
- Zip
- 02072-3814
- Phone Number
- 401-422-9717
License Information
- Taxonomy
- Case Manager/Care Coordinator · 171M00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Izadora T Theodore?
The NPI number of Izadora T Theodore is 1497554232. It was assigned on March 12, 2025 and is currently active in the NPPES registry.
What is the specialty of Izadora T Theodore?
Izadora T Theodore is registered under the primary taxonomy Case Manager/Care Coordinator (code 171M00000X).
Where does Izadora T Theodore practice?
The practice location is 400 N Main St, Randolph, MA 02368-4177. The office can be reached at 781-885-0277 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497554232 directly on the NPPES registry website.