NPIMap

Organization Active NPI

Morganmemorial Goodwill Ind.

  • Developmentally Disabled Services Day Training Agency
  • Saugus, MA
National Provider Identifier
1609160621
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
0027685700 Issued in MA
Legal business name
MORGANMEMORIAL GOODWILL IND.
Practice address
4137 Scotts Mill CT
Saugus, MA 01906-4551
Phone
(781) 854-8443
NPI assigned
Jun 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Miss Micleta Smith
Title
Supervisor
Phone
(617) 541-1274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 0027685700 MA Primary

Addresses

Primary practice location

4137 Scotts Mill CT
Saugus, MA 01906-4551

Mailing address

4137 Scotts Mill CT
Saugus, MA 01906-4551
Phone (781) 854-8443

Other identifiers 1

IdentifierTypeStateIssuer
027685700OtherMAMED CERTIFICATION

National Provider Directory

National Provider Directory
Tax ID family
Morgan Memorial Goodwill Industries3 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.

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1609160621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 SCOTTS MILL CT",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019064551",
            "telephone_number": "781-854-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4137 SCOTTS MILL CT",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019064551",
            "telephone_number": "781-854-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGANMEMORIAL GOODWILL IND.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICLETA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "617-541-1274",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MA",
            "license": "0027685700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED CERTIFICATION",
            "identifier": "027685700",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugus, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.