NPIMap

Organization Active NPI

Hurley House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Waltham, MA
National Provider Identifier
1316446297
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
0222 Issued in MA
Legal business name
HURLEY HOUSE, INC.
Practice address
12 Lowell St
Waltham, MA 02453-5254
Phone
(781) 891-4323
Fax
(781) 891-9293
NPI assigned
Feb 7, 2018
Last updated
Feb 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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

Authorized official

Name
Alfred Colcord Blake Jr., BS, LADAC1
Title
Executive Director
Phone
(781) 891-4323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 0222 MA Primary

Addresses

Primary practice location

12 Lowell St
Waltham, MA 02453-5254

Mailing address

PO Box 540662
Waltham, MA 02454-0662
Phone (781) 891-4323

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1316446297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540662",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024540662",
            "telephone_number": "781-891-4323",
            "fax_number": "781-891-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LOWELL ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535254",
            "telephone_number": "781-891-4323",
            "fax_number": "781-891-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURLEY HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "COLCORD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "781-891-4323",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "BS,  LADAC1"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MA",
            "license": "0222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.