NPIMap

Organization Active NPI

South Shore Support Services

  • Adult Day Care Clinic/Center
  • Weymouth, MA
National Provider Identifier
1669792149
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
110075033B Issued in MA
Legal business name
SOUTH SHORE SUPPORT SERVICES
Practice address
317 Libbey Industrial Pkwy
Unit B300
Weymouth, MA 02189-3113
Phone
(781) 331-7878
Fax
(781) 331-4882
NPI assigned
Jun 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Mrs. Mary T. Burt
Title
Executive Director
Phone
(781) 331-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 110075033B MA Primary

Addresses

Primary practice location

317 Libbey Industrial Pkwy
Unit B300
Weymouth, MA 02189-3113

Mailing address

PO Box 890126
Weymouth, MA 02189-0003
Phone (781) 331-7878

Other identifiers 1

IdentifierTypeStateIssuer
61752828MedicaidMA

Other names 1

  • Jeanne Hamilton Adult Day Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Jeanne Hamilton Adult Day Health Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1669792149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890126",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021890003",
            "telephone_number": "781-331-7878",
            "fax_number": "781-331-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 LIBBEY INDUSTRIAL PKWY",
            "address_2": "UNIT B300",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893113",
            "telephone_number": "781-331-7878",
            "fax_number": "781-331-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "781-331-7878",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MA",
            "license": "110075033B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61752828",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeanne Hamilton Adult Day Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.