NPIMap

Organization Active NPI

Northeast Hospital Corporation

Doing business as Spectrum Adult Day Health

  • Adult Day Care Clinic/Center
  • Beverly, MA
National Provider Identifier
1073658225
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
NORTHEAST HOSPITAL CORPORATION
Doing business as
Spectrum Adult Day Health
Practice address
600 Cummings Center
Suite 176X
Beverly, MA 01915
Phone
(978) 921-5020
Fax
(978) 739-4627
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Mr. Denis Conroy
Title
Ceo
Phone
(978) 922-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

600 Cummings Center
Suite 176X
Beverly, MA 01915

Mailing address

85 Herrick Street
Medical Staff Office
Beverly, MA 01915
Phone (978) 922-3000

Other identifiers 1

IdentifierTypeStateIssuer
1902997MedicaidMA

Other names 1

  • Spectrum Adult Day Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northeast Hospital Corp11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

600 Cummings Ctr
Ste 176X
Beverly, MA 01915
Phone (978) 921-5020

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1073658225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HERRICK STREET",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-922-3000",
            "fax_number": "978-921-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CUMMINGS CENTER",
            "address_2": "SUITE 176X",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-921-5020",
            "fax_number": "978-739-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "DENIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-922-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902997",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Adult Day Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.