NPIMap

Organization Active NPI

Elliot Community Human Services

  • Community/Behavioral Health Agency
  • Lowell, MA
National Provider Identifier
1669728614
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0003192 Issued in MA
Legal business name
ELLIOT COMMUNITY HUMAN SERVICES
Practice address
35 John St
Lowell, MA 01852-1101
Phone
(978) 275-3879
NPI assigned
Jul 27, 2012
Last updated
Jul 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Authorized official

Name
Mr. Jeffrey B. Renner, MS
Title
Vocational Counselor
Phone
(978) 275-3879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0003192 MA Primary

Addresses

Primary practice location

35 John St
Lowell, MA 01852-1101

Mailing address

35 John St
Lowell, MA 01852-1101
Phone (978) 275-3879

National Provider Directory

National Provider Directory
Tax ID family
Eliot Community MNTL HLTH20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Practitioners & affiliated clinicians

Practitioners 11

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": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1669728614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JOHN ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521101",
            "telephone_number": "978-275-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 JOHN ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521101",
            "telephone_number": "978-275-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT COMMUNITY HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "RENNER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "VOCATIONAL COUNSELOR",
        "authorized_official_telephone_number": "978-275-3879",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "0003192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.