Active NPI
New England Village Inc
- Developmentally Disabled Services Day Training Agency
- Pembroke, MA
National Provider Identifier
1366587271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 1319124
- Legal business name
- NEW ENGLAND VILLAGE INC
- Practice address
- 664 School St
Pembroke, MA 02359-3607 - Phone
- (781) 294-1062
- NPI assigned
- Feb 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cathleen M Horton
- Title
- Finance Director
- Phone
- (781) 293-5461
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 1319124 | MA | Primary |
Addresses
Primary practice location
664 School St
Pembroke, MA 02359-3607
Mailing address
664 School St
Pembroke, MA 02359-3607
Phone (781) 294-1062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1319124 | Medicaid | MA |
National Provider Directory
National Provider Directory- Tax ID family
- New England Village Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Pembroke, MA
- NPI 1780811257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1366587271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "664 SCHOOL ST",
"city": "PEMBROKE",
"state": "MA",
"postal_code": "023593607",
"telephone_number": "781-294-1062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 SCHOOL ST",
"city": "PEMBROKE",
"state": "MA",
"postal_code": "023593607",
"telephone_number": "781-294-1062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW ENGLAND VILLAGE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HORTON",
"authorized_official_first_name": "CATHLEEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "781-293-5461"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "MA",
"license": "1319124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1319124",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke, 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.