NPIMap

Organization Active NPI

Preparatory Rehabilitation for Individual Development and Employment,

  • Public Health or Welfare Agency
  • Taunton, MA
National Provider Identifier
1023567070
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
PREPARATORY REHABILITATION FOR INDIVIDUAL DEVELOPMENT AND EMPLOYMENT,
Practice address
3 Maple Street
Taunton, MA 02870
Phone
(508) 823-7134
Fax
(508) 824-7134
NPI assigned
Sep 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Marc Mauricio
Title
Assistant Executive Director
Phone
(508) 823-7134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

3 Maple Street
Taunton, MA 02870

Mailing address

3 Maple Street
Taunton, MA 02870
Phone (508) 823-7139

Other names 1

  • PRIDE Inc. Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1023567070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MAPLE STREET",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "02870",
            "telephone_number": "508-823-7139",
            "fax_number": "508-824-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MAPLE STREET",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "02870",
            "telephone_number": "508-823-7134",
            "fax_number": "508-824-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREPARATORY REHABILITATION FOR INDIVIDUAL DEVELOPMENT AND EMPLOYMENT,",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "MAURICIO",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "ASSISTANT EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-823-7134",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIDE Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.