Organization Active NPI

South Norfolk County Association for Retarded Citizens, Inc

  • Developmentally Disabled Services Day Training Agency
  • West Roxbury, MA
National Provider Identifier
1467591172
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
SOUTH NORFOLK COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC
Practice address
2070 Centre St
West Roxbury, MA 02132-3328
Phone
(617) 469-1986
Fax
(617) 469-0571
NPI assigned
Feb 6, 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
Dr. William F Abel, PHD
Title
President
Phone
(781) 762-4001

Specialties & licenses 1

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

Addresses

Primary practice location

2070 Centre St
West Roxbury, MA 02132-3328

Mailing address

789 Clapboardtree St
Westwood, MA 02090-1717
Phone (781) 762-4001

Other identifiers 1

IdentifierTypeStateIssuer
1948598MedicaidMA

Other names 1

  • SENIOR CONNECTIONS Other name

National Provider Directory

National Provider Directory
Tax ID family
Day Hab3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2070 Centre St
West Roxbury, MA 02132
Phone (617) 469-1986

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467591172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CLAPBOARDTREE ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020901717",
            "telephone_number": "781-762-4001",
            "fax_number": "781-461-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021323328",
            "telephone_number": "617-469-1986",
            "fax_number": "617-469-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH NORFOLK COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-762-4001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "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": "1948598",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SENIOR CONNECTIONS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Roxbury, 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.