NPIMap

Organization Active NPI

The Arc of the South Shore, Inc.

  • Supports Brokerage Agency
  • Hingham, MA
National Provider Identifier
1447306089
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
Legal business name
THE ARC OF THE SOUTH SHORE, INC.
Practice address
20 Pond Park Rd.
Hingham, MA 02043
Phone
(781) 335-3023
Fax
(781) 331-6021
NPI assigned
Jan 26, 2007
Last updated
Oct 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Authorized official

Name
Ms. Daryl Ann Cook-Ivan
Title
Executive Director
Phone
(781) 335-3023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X NU Primary

Addresses

Primary practice location

20 Pond Park Rd.
Hingham, MA 02043

Mailing address

20 Pond Park Rd.
Hingham, MA 02043
Phone (781) 335-3023

Other identifiers 2

IdentifierTypeStateIssuer
110027983DMedicaidMA
1901656MedicaidMA

Other names 1

  • South Shore arc Other name

National Provider Directory

National Provider Directory
Tax ID family
South Shore Arc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1447306089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 POND PARK RD.",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "02043",
            "telephone_number": "781-335-3023",
            "fax_number": "781-331-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 POND PARK RD.",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "02043",
            "telephone_number": "781-335-3023",
            "fax_number": "781-331-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF THE SOUTH SHORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "COOK-IVAN",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "781-335-3023",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110027983D",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1901656",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Shore arc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "South Shore arc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.