NPIMap

Organization Active NPI

Habit Opco Wareham

  • Health Maintenance Organization
  • E Wareham, MA
National Provider Identifier
1639537285
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
HABIT OPCO WAREHAM
Practice address
3088 Acranberry Hwy.
E. Wareham, MA 02538-1499
Phone
(508) 295-7990
NPI assigned
Feb 10, 2016
Last updated
Feb 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Authorized official

Name
John Joseph Haley, M.S. M.E.D.NPI 1174973770
Title
Clinician
Phone
(774) 454-8646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X MA Primary

Addresses

Primary practice location

3088 Acranberry Hwy.
E. Wareham, MA 02538-1499

Mailing address

PO Box 1499
Plymouth, MA 02362-1499
Phone (774) 454-8646

National Provider Directory

National Provider Directory
Tax ID family
Habit Opco LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

3088 Cranberry Hwy
East Wareham, MA 02538
Phone (508) 291-1621

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1639537285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1499",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023621499",
            "telephone_number": "774-454-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3088 ACRANBERRY HWY.",
            "city": "E. WAREHAM",
            "state": "MA",
            "postal_code": "025381499",
            "telephone_number": "508-295-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABIT OPCO WAREHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "774-454-8646",
        "authorized_official_credential": "M.S. M.E.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in E Wareham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.