Active NPIIndividual providerSole proprietor

Ali S Boothe Sr.

Case Manager/Care Coordinator in Worcester, Massachusetts

NPI Number1750113791
Practice location
90 Madison St, Worcester, MA 01608-2058
Fax
—
Last updated
August 19, 2024

Ali Selassie Boothe is a Case Manager/Care Coordinator based in Worcester, MA. Ali Selassie Boothe practices in Worcester, MA. The NPI Number for Ali Selassie Boothe is 1750113791. The current practice location address for Ali Selassie Boothe is 90 Madison St, Worcester, MA 01608-2058 and can be reached out via phone at 774-530-6363.

Provider Profile Details

NPI Number
1750113791
Provider Name
Ali Selassie Boothe
Provider Entity Type
Individual
Gender
Male
Address
90 Madison St, Worcester, MA 01608-2058
Phone Number
774-530-6363
Primary Taxonomy
Case Manager/Care Coordinator · 171M00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 19, 2024
Last Update Date
August 19, 2024
Certification Date
August 18, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Madison St
Worcester, MA 01608-2058
Zip
01608-2058
Phone Number
774-530-6363
Worcester, MA 01608Get directions →

Provider Business Mailing Address Details

Address
3 May St
Worcester, MA 01610-1422
City
Worcester
State
MA
Zip
01610-1422
Phone Number
774-530-6363

License Information

Taxonomy
Case Manager/Care Coordinator · 171M00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ali S Boothe Sr.?

The NPI number of Ali S Boothe Sr. is 1750113791. It was assigned on August 19, 2024 and is currently active in the NPPES registry.

What is the specialty of Ali S Boothe Sr.?

Ali S Boothe Sr. is registered under the primary taxonomy Case Manager/Care Coordinator (code 171M00000X).

Where does Ali S Boothe Sr. practice?

The practice location is 90 Madison St, Worcester, MA 01608-2058. The office can be reached at 774-530-6363 (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 1750113791 directly on the NPPES registry website.

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