Individual provider · Type 1 NPI

Marvel Larose

Foster Care Agency · Randolph, MA

NPI number 1407209620 Active

Practice location

217 Chestnut St
Randolph, MA 02368-2407

Mailing address

101 S Main St
Randolph, MA 02368-4896

Specialties and licenses

TaxonomyCodeLicense
Foster Care Agency Primary 253J00000XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XRN2292446 (MA)

Foster Care Agency: 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.

About NPI 1407209620

Marvel Larose's National Provider Identifier is 1407209620, issued on Jul 22, 2016. The primary taxonomy on file is Foster Care Agency (253J00000X), and the practice location is in Randolph, MA. The record was last updated on Dec 5, 2025.