NPIMap

Organization Active NPI

Toward Independent Living & Learning, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Hudson, MA
National Provider Identifier
1164559803
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
TOWARD INDEPENDENT LIVING & LEARNING, INC.
Practice address
577 East Main Street
Hudson, MA 01749
Phone
(781) 302-4604
Fax
(781) 234-1104
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kevin M Stock, MS
Title
Vice President - Operations
Phone
(781) 302-4604

Specialties & licenses 1

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

Addresses

Primary practice location

577 East Main Street
Hudson, MA 01749

Mailing address

20 Eastbrook Rd
Dedham, MA 02026-2075
Phone (781) 302-4604

Other identifiers 1

IdentifierTypeStateIssuer
1305107MedicaidMA

Other names 1

  • TILL, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
Till Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

577 Main St
Hudson, MA 01749
Phone (774) 258-1211

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164559803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EASTBROOK RD",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020262075",
            "telephone_number": "781-302-4604",
            "fax_number": "781-234-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 EAST MAIN STREET",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "01749",
            "telephone_number": "781-302-4604",
            "fax_number": "781-234-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWARD INDEPENDENT LIVING & LEARNING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOCK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT - OPERATIONS",
        "authorized_official_telephone_number": "781-302-4604",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1305107",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TILL, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hudson, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.