Active NPI
Shore Educational Collaborative
- Developmentally Disabled Services Day Training Agency
- Chelsea, MA
National Provider Identifier
1033249651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- SHORE EDUCATIONAL COLLABORATIVE
- Practice address
- 100 Revere Beach Pkwy
Chelsea, MA 02150-1543 - Phone
- (617) 887-2930
- Fax
- (617) 887-2022
- NPI assigned
- Mar 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Maryann Lucia
- Title
- Director of Finance
- Phone
- (617) 887-2930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | MA | Primary |
Addresses
Primary practice location
100 Revere Beach Pkwy
Chelsea, MA 02150-1543
Mailing address
100 Revere Beach Pkwy
Chelsea, MA 02150-1543
Phone (617) 887-2930
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1300334 | Medicaid | MA | |
| 1300750 | Medicaid | MA | |
| 1308947 | Medicaid | MA | |
| 1319272 | Medicaid | MA |
National Provider Directory
National Provider Directory- Tax ID family
- Shore Educational Collaborative
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Beverly, MA
- NPI 1245458009
-
- Developmentally Disabled Services Day Training Agency
- Wakefield, MA
- NPI 1730307505
-
- Developmentally Disabled Services Day Training Agency
- Peabody, MA
- NPI 1750509527
Locations
100 Revere Beach Pkwy
Chelsea, MA 02150
Phone (617) 370-6277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1033249651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 REVERE BEACH PKWY",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021501543",
"telephone_number": "617-887-2930",
"fax_number": "617-887-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 REVERE BEACH PKWY",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021501543",
"telephone_number": "617-887-2930",
"fax_number": "617-887-2022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHORE EDUCATIONAL COLLABORATIVE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2008-06-23",
"status": "A",
"authorized_official_last_name": "LUCIA",
"authorized_official_first_name": "MARYANN",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "617-887-2930",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1300334",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1300750",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1308947",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1319272",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chelsea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.