Active NPI
Greater Waltham Association for Retarded Citizens, Inc.
- Developmentally Disabled Services Day Training Agency
- Waltham, MA
National Provider Identifier
1629296462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- GREATER WALTHAM ASSOCIATION FOR RETARDED CITIZENS, INC.
- Practice address
- 31 Woodland Rd
Waltham, MA 02451-2989 - Phone
- (781) 899-2206
- Fax
- (781) 736-0714
- NPI assigned
- Apr 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roslynn Rubin, ED.D
- Title
- Executive Director
- Phone
- (781) 899-1344
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
31 Woodland Rd
Waltham, MA 02451-2989
Mailing address
56 Chestnut St
Waltham, MA 02453-4433
Phone (781) 899-1344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1319787 | Medicaid | MA |
National Provider Directory
National Provider Directory- Tax ID family
- Greater Waltham Arc Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Waltham, MA
- NPI 1043359797
-
- Adult Care Home Facility
- Waltham, MA
- NPI 1629355847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629296462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 CHESTNUT ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024534433",
"telephone_number": "781-899-1344",
"fax_number": "781-899-2197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 WOODLAND RD",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024512989",
"telephone_number": "781-899-2206",
"fax_number": "781-736-0714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER WALTHAM ASSOCIATION FOR RETARDED CITIZENS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RUBIN",
"authorized_official_first_name": "ROSLYNN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "781-899-1344",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ED.D"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1319787",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.