NPIMap

Organization Active NPI

Kit Clark Senior Services

  • Non-emergency Medical Transport (VAN)
  • Dorchester, MA
National Provider Identifier
1518247683
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
KIT CLARK SENIOR SERVICES
Practice address
42 Charles St
Dorchester, MA 02122-1441
Phone
(617) 825-5000
NPI assigned
Aug 22, 2011
Organization subpart
Yes
Parent organization
BAY COVE HUMAN SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Miss Pamela L Harrigan
Title
Billing Manager
Phone
(617) 619-5919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X MA Primary

Addresses

Primary practice location

42 Charles St
Dorchester, MA 02122-1441

Mailing address

66 Canal St
Boston, MA 02114-2002
Phone (617) 371-3000

Other identifiers 1

IdentifierTypeStateIssuer
110073321AMedicaidMA

Other names 1

  • Bay Cove Human Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Bay Cove Human Services3 organizations share this tax ID, including this one
Part of
Bay Cove Treatment Center

Other organizations with this tax ID 2

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

Locations

42 Charles St
Dorchester, MA 02122
Phone (617) 825-5000

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1518247683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CANAL ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142002",
            "telephone_number": "617-371-3000",
            "fax_number": "617-371-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 CHARLES ST",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021221441",
            "telephone_number": "617-825-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIT CLARK SENIOR SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAY COVE HUMAN SERVICES",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIGAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "617-619-5919",
        "authorized_official_name_prefix": "Miss"
    },
    "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": "110073321A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Cove Human Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.