Preparatory Rehabilitation for Individual Development and Employment

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

110027767 Issued in MA

Legal business name

PREPARATORY REHABILITATION FOR INDIVIDUAL DEVELOPMENT AND EMPLOYMENT

Practice address

3 Maple St
Taunton, MA 02780-3012

Phone

(508) 823-7134

Fax

(508) 824-5699

NPI assigned

Jul 8, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Marc Mauricio

Title

Assistant Executive Director

Phone

(508) 823-7134

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PRIDE Inc. Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1760834287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MAPLE ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MAPLE ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803012",
            "telephone_number": "508-823-7134",
            "fax_number": "508-824-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREPARATORY REHABILITATION FOR INDIVIDUAL DEVELOPMENT AND EMPLOYMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "MAURICIO",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "ASSISTANT EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-823-7134",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MA",
            "license": "110027767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110027767",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIDE Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kaela Powell Cobbs
• Jordan Preeper,
• Preparatory Rehabilitation for Individual Development & Employment, in
• Preparatory Rehabilitation for Individual Development & Employment, in
• Preparatory Rehabilitation for Individual Development & Employment, in
• Preparatory Rehabilitation for Individual Development and Employment,
• Louise Preti, RN-BC, M.ED.
• Preventive Medicine Associates (Taunton Family Practice)
• Susan P. Prewandowski, O.D.
• Amy Pringle, LSW

• Developmentally Disabled Services Day Training Agency in Taunton, MA
• Providers in Taunton, MA by specialty
• Developmentally Disabled Services Day Training Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.