Organization Active NPI

Entyre Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fall River, MA
National Provider Identifier
1548082084
Registry record updated Nov 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
ENTYRE INC
Practice address
218 Shove St
Fall River, MA 02724-2068
Phone
(617) 765-1217
NPI assigned
Oct 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2024

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

Authorized official

Name
Lennart Van Der Smissen
Title
Ceo
Phone
(617) 765-1217

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

218 Shove St
Fall River, MA 02724-2068

Mailing address

218 Shove St
Fall River, MA 02724-2068

Other names 1

  • EntyreCare Inc Doing business as

National Provider Directory

National Provider Directory

Locations

218 Shove St
Fall River, MA 02724
Phone (508) 679-6185

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731196800000",
    "number": "1548082084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 SHOVE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027242068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 SHOVE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027242068",
            "telephone_number": "617-765-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTYRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-11-10",
        "certification_date": "2024-11-10",
        "status": "A",
        "authorized_official_last_name": "VAN DER SMISSEN",
        "authorized_official_first_name": "LENNART",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-765-1217"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EntyreCare Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2024; 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.