Organization Active NPI

New England Village Inc

  • Developmentally Disabled Services Day Training Agency
  • Pembroke, MA
National Provider Identifier
1780811257
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
110028180B Issued in MA
Legal business name
NEW ENGLAND VILLAGE INC
Practice address
664 School St
Pembroke, MA 02359-3607
Phone
(781) 293-5461
Fax
(781) 294-8385
NPI assigned
Jun 11, 2009
Last updated
Jun 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Authorized official

Name
Cathleen Horton
Title
Finance Director
Phone
(781) 293-5461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 110028180B MA Primary

Addresses

Primary practice location

664 School St
Pembroke, MA 02359-3607

Mailing address

664 School St
Pembroke, MA 02359-3607
Phone (781) 293-5461

Other identifiers 1

IdentifierTypeStateIssuer
110028180BOtherMAMASS HEALTH PROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
New England Village Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

664 School St
Pembroke, MA 02359
Phone (781) 293-5461

Practitioners & affiliated clinicians

Practitioners 1

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": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1780811257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 SCHOOL ST",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023593607",
            "telephone_number": "781-293-5461",
            "fax_number": "781-294-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 SCHOOL ST",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023593607",
            "telephone_number": "781-293-5461",
            "fax_number": "781-294-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND VILLAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "781-293-5461"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MA",
            "license": "110028180B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH PROVIDER NUMBER",
            "identifier": "110028180B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.