Active NPI
Webster''S Coach, LLC
- Non-emergency Medical Transport (VAN)
- Fitchburg, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- WEBSTER''S COACH, LLC
- Practice address
- 33 Electric Ave
Fitchburg, MA 01420-7954 - Phone
- (978) 627-3929
- NPI assigned
- Nov 9, 2017
- Organization subpart
- Yes
- Parent organization
- NEW DAWN INTEGRATED BEHAVIORAL HEALTH CENTER INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bruce Edward Wells II, MHA
- Title
- Vice President
- Phone
- (774) 200-1786
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | MA | Primary |
Addresses
Primary practice location
33 Electric Ave
Fitchburg, MA 01420-7954
Mailing address
33 Electric Ave Ste B03
Fitchburg, MA 01420-7954
Phone (978) 627-3929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477517407 | Medicaid | MA |
Other names 4
- Bruce E. Wells I
- Bruce E. Wells II
- Sheila R. Wells
- Tiffany U. Wells
National Provider Directory
National Provider Directory- Part of
- New Dawn Integrated Behavioral Health Center Inc
Locations
33 Electric Ave
Ste B03
Fitchburg, MA 01420
Phone (978) 345-2400
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Mental Health Counselor
- Fitchburg, MA
- NPI 1265824940
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Fitchburg, MA
- NPI 1619742137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1245743483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 ELECTRIC AVE STE B03",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014207954",
"telephone_number": "978-627-3929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 ELECTRIC AVE",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014207954",
"telephone_number": "978-627-3929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEBSTER''S COACH, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEW DAWN INTEGRATED BEHAVIORAL HEALTH CENTER INC.",
"enumeration_date": "2017-11-09",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "WELLS",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "774-200-1786",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "MHA"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477517407",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bruce E. Wells I",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bruce E. Wells II",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sheila R. Wells",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Tiffany U. Wells",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fitchburg, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.