NPIMap

Organization Active NPI

Communitas, Inc.

Doing business as Life Choices Wakefield

  • Developmentally Disabled Services Day Training Agency
  • Wakefield, MA
National Provider Identifier
1053526103
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
1300610 Issued in MA
Legal business name
COMMUNITAS, INC.
Doing business as
Life Choices Wakefield
Practice address
30-40 Audubon Road
Wakefield, MA 01880
Phone
(781) 587-2440
Fax
(781) 587-1362
NPI assigned
May 11, 2007
Last updated
Feb 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Mr. Paul J. Cote Jr.
Title
Ceo & Cfo
Phone
(781) 587-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 1300610 MA Primary

Addresses

Primary practice location

30-40 Audubon Road
Wakefield, MA 01880

Mailing address

60 D Audubon Road
Wakefield, MA 01880
Phone (781) 587-2200

Other identifiers 1

IdentifierTypeStateIssuer
1315612MedicaidMA

Other names 1

  • Life Choices Wakefield Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Communitas Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

30 Audubon Rd
Wakefield, MA 01880
Phone (781) 587-2314

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1053526103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 D AUDUBON ROAD",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "01880",
            "telephone_number": "781-587-2200",
            "fax_number": "781-587-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30-40 AUDUBON ROAD",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "01880",
            "telephone_number": "781-587-2440",
            "fax_number": "781-587-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "COTE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO & CFO",
        "authorized_official_telephone_number": "781-587-2220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MA",
            "license": "1300610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1315612",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Choices Wakefield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.