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Commonwealth of Massachusetts

Organization Active NPI Case Management Agency · Holyoke, MA

NPI 1790908002 · NPPES record last updated Mar 19, 2026

Key facts

NPI
1790908002
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
Legal business name
COMMONWEALTH OF MASSACHUSETTS
Practice address
113 Hampden Street
Holyoke, MA 01040
Phone
(413) 535-1022
NPI assigned
Apr 11, 2007
Organization subpart
Yes
Parent organization (as reported)
COMMONWEALTH OF MASSCHUSETTS

Authorized official

Name
Dylan Lattimore
Title
Deputy Commissioner for Administrat
Phone
(857) 408-0675

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 24

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

National Provider Directory

Tax ID family
C Stanley Raymond (146 organizations share this tax ID)
Part of
C Stanley Raymond

Locations

88 Front St
#1
Holyoke, MA 01040

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Yes

Addresses

Primary practice location

113 Hampden Street
Holyoke, MA 01040

Mailing address

40 Broad Street
4TH Floor
Boston, MA 02109
Phone (617) 727-5608

Other identifiers

IdentifierTypeStateIssuer
1802887MedicaidMA
110000085QMedicaidMA

Other names

  • DDS HOLYOKE/CHICOPEE AREA OFFICE Doing business as
  • HOLYOKE - CHICOPEE AREA OFFICE CM Doing business as

Other providers in Holyoke, MA

All providers in Holyoke, MA · Case Management Agency in Massachusetts

Sources for this page

Verify at the official NPI Registry.