Bass River Day Activity Program, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

1308548 Issued in MA

Legal business name

BASS RIVER DAY ACTIVITY PROGRAM, INC.

Doing business as

Bass River, Inc

Practice address

437 Essex St
Beverly, MA 01915-1311

Phone

(978) 927-5326

Fax

(978) 922-3109

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Edward A Potvin

Title

Executive Director

Phone

(978) 927-5326

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bass River, Inc Doing business as

Tax ID family

Bass River Day Activity Program Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Bass River Day Activity Program, Inc

  • Developmentally Disabled Services Day Training Agency
  • Salem, MA
  • NPI 1487780805
  NPD tax ID

Locations

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1629105382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 ESSEX ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151311",
            "telephone_number": "978-927-5326",
            "fax_number": "978-922-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 ESSEX ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151311",
            "telephone_number": "978-927-5326",
            "fax_number": "978-922-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASS RIVER DAY ACTIVITY PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "POTVIN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "978-927-5326",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MA",
            "license": "1308548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1319141",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1308548",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bass River, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erika Barrowman, MA, ET
• Jennifer Barry
• Patricia Marie Barry, LMHC
• Catherine Bartolo
• Kathryn Barton, MS OTR/L
• Mona Bastide, MSW/LICSW
• Lisa P Batchelder, LICSW
• Yehinelis Batista Santana
• Laurel A Bauer, MD
• Bayada Home Health Care, Inc.

• Developmentally Disabled Services Day Training Agency in Beverly, MA
• Providers in Beverly, MA by specialty
• Developmentally Disabled Services Day Training Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.