Northeast Arc Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NORTHEAST ARC INC

Practice address

89 Newbury Street,
Suite 202,
Danvers, MA 01923

Phone

(978) 646-5200

Fax

(978) 560-1402

NPI assigned

Jun 30, 2005

Last updated

Oct 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joann Simons, MSW

Title

President & Ceo

Phone

(978) 624-2408

Specialties & licenses 1

Addresses

Other identifiers 12

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679570113. Details of each certification follow.

• CCN 227474 Home health agency · Active · Details

Home health agency certification: CCN 227474

Legal name

NORTHEAST ARC INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 20, 2002

Last certification

Dec 12, 2019

Ownership / control type

Non-Profit

Organization structure

CorporationNon-profit

Incorporated

Feb 17, 1956 in MA

Enrollment address

1 Southside Rd
Danvers, MA 01923-1408
HHA Branch

Listed as

Northeast Arc IncCCN 227474 · All quality measures

Ownership

Non-Profit

Certified

Nov 20, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Physical therapy

Tax ID family

Northeast Arc Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

• Northeast Arc

  • Community/Behavioral Health Agency
  • Danvers, MA
  • NPI 1346615523
  NPD tax ID
• Northeast Arc

  • Developmentally Disabled Services Day Training Agency
  • Danvers, MA
  • NPI 1710541479
  NPD tax ID
• Northeast Arc Inc

  • Community/Behavioral Health Agency
  • Danvers, MA
  • NPI 1801298898
  NPD tax ID
• Northeast Arc Inc

  • Community/Behavioral Health Agency
  • Danvers, MA
  • NPI 1821438201
  NPD tax ID
• Northeast Arc, Inc.

  • Speech-Language Pathologist
  • Danvers, MA
  • NPI 1124814058
  NPD tax ID
• Northeast Arc, Inc.

  dba North Shore Arc

  • Early Intervention Provider Agency
  • Danvers, MA
  • NPI 1184849606
  NPD tax ID
• Northeast Arc, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Peabody, MA
  • NPI 1427205202
  NPD tax ID
• Northeast Arc, Inc.

  • Developmental Disabilities Clinic/Center
  • Danvers, MA
  • NPI 1548458243
  NPD tax ID
• Northeast Arc, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Danvers, MA
  • NPI 1598980005
  NPD tax ID
• Northeast Arc, Inc.

  • Early Intervention Provider Agency
  • Beverly, MA
  • NPI 1629356613
  NPD tax ID
• Northeast Arc, Inc.

  • Community/Behavioral Health Agency
  • Danvers, MA
  • NPI 1629376538
  NPD tax ID
• Northeast Arc, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Danvers, MA
  • NPI 1649480351
  NPD tax ID

Locations

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1679570113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 NEWBURY STREET,",
            "address_2": "SUITE 202,",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "978-646-5200",
            "fax_number": "978-560-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 NEWBURY STREET,",
            "address_2": "SUITE 202,",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "978-646-5200",
            "fax_number": "978-560-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ARC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "978-624-2408",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110024513A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MA",
            "identifier": "0000120474",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "003006819",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "694788",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "95297101",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026357R",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1983850",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE - OXFORD",
            "identifier": "A4447157",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET PLAN",
            "identifier": "106504",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "00019233",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7823597",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "AA47084",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Shore Pediatrics, PC
• North Shore Sports Medical Center of Danvers, LLC
• North Shore Wellness & Therapy Center, LLC
• Northeast Arc
• Northeast Arc
• Northeast Arc Inc
• Northeast Arc Inc
• Northeast Arc, Inc.
• Northeast Arc, Inc. (North Shore Arc)
• Northeast Arc, Inc.

• Home Health Agency in Danvers, MA
• Providers in Danvers, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.