Organization Active NPI

Habilitation Assistance Corporation

  • Non-emergency Medical Transport (VAN)
  • Plymouth, MA
National Provider Identifier
1619976214
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
HABILITATION ASSISTANCE CORPORATION
Practice address
436 Court St
Plymouth, MA 02360-7312
Phone
(508) 747-2176
Fax
(508) 746-7544
NPI assigned
Jul 18, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Allen C. Eddy
Title
President
Phone
(508) 746-7433

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

436 Court St
Plymouth, MA 02360-7312

Mailing address

434 Court St
Plymouth, MA 02360-7312
Phone (508) 746-7433

Other identifiers 5

IdentifierTypeStateIssuer
1304933MedicaidMA
1304968MedicaidMA
1311255MedicaidMA
1304941MedicaidMA
1715933MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Habilitation Assistance Corporation5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

434 Court St
Plymouth, MA 02360
Phone (508) 746-7433

436 Court St
Plymouth, MA 02360
Phone (508) 747-2176

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1619976214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 COURT ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607312",
            "telephone_number": "508-746-7433",
            "fax_number": "508-746-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 COURT ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607312",
            "telephone_number": "508-747-2176",
            "fax_number": "508-746-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABILITATION ASSISTANCE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-746-7433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1304933",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1304968",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1311255",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1304941",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715933",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.