NPIMap

Organization Active NPI

Eliot Community Human Services

  • Community/Behavioral Health Agency
  • Saugus, MA
National Provider Identifier
1124516356
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ELIOT COMMUNITY HUMAN SERVICES
Practice address
1715 Broadway
Saugus, MA 01906-4703
Phone
(781) 861-0890
NPI assigned
Apr 24, 2018
Organization subpart
Yes
Parent organization
ELIOT COMMUNITY HUMAN SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Authorized official

Name
Leona Walton
Title
Billing Support Analyst
Phone
(781) 734-2028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1715 Broadway
Saugus, MA 01906-4703

Mailing address

125 Hartwell Ave
Lexington, MA 02421-3100
Phone (781) 861-0890

Other identifiers 1

IdentifierTypeStateIssuer
1300911MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Eliot Community Health20 organizations share this tax ID, including this one
Part of
Eliot Community Health

Other organizations with this tax ID 19

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

View all 19

Locations

1711 Broadway
Saugus, MA 01906
Phone (781) 395-0457

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1124516356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HARTWELL AVE",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024213100",
            "telephone_number": "781-861-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 BROADWAY",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019064703",
            "telephone_number": "781-861-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIOT COMMUNITY HUMAN SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELIOT COMMUNITY HUMAN SERVICES",
        "enumeration_date": "2018-04-24",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "LEONA",
        "authorized_official_title_or_position": "BILLING SUPPORT ANALYST",
        "authorized_official_telephone_number": "781-734-2028"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300911",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugus, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.