NPIMap

Organization Active NPI

Southern Worcester County Arc Inc

  • Developmentally Disabled Services Day Training Agency
  • Southbridge, MA
National Provider Identifier
1720200231
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SOUTHERN WORCESTER COUNTY ARC INC
Practice address
40 West St
Southbridge, MA 01550-1622
Phone
(508) 764-4085
Fax
(508) 765-0255
NPI assigned
May 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Howard
Title
Executive Director
Phone
(508) 764-4085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

40 West St
Southbridge, MA 01550-1622

Mailing address

PO Box 66
100 Foster St
Southbridge, MA 01550-0066
Phone (508) 764-4085

Other identifiers 1

IdentifierTypeStateIssuer
1300148MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Southern Worcester County Arc Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720200231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "address_2": "100 FOSTER ST",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015500066",
            "telephone_number": "508-764-4085",
            "fax_number": "508-765-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WEST ST",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015501622",
            "telephone_number": "508-764-4085",
            "fax_number": "508-765-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN WORCESTER COUNTY ARC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-764-4085",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300148",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbridge, 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.

Verify at the official NPI Registry.