NPIMap

Organization Active NPI

South Norfolk County Association for Retarded Citizens

  • Foster Care Agency
  • Westwood, MA
National Provider Identifier
1831471655
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
253J00000X Issued in MA
Legal business name
SOUTH NORFOLK COUNTY ASSOCIATION FOR RETARDED CITIZENS
Practice address
789 Clapboardtree St
Westwood, MA 02090-1717
Phone
(781) 762-4001
Fax
(781) 461-5950
NPI assigned
Sep 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Authorized official

Name
Ms. Deborah Kay Wood, M.ED
Title
Vice President
Phone
(781) 762-4001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 253J00000X MA Primary

Addresses

Primary practice location

789 Clapboardtree St
Westwood, MA 02090-1717

Mailing address

789 Clapboardtree St
Westwood, MA 02090-1717
Phone (781) 762-4001

Other identifiers 3

IdentifierTypeStateIssuer
110027914BMedicaidMA
110027914AMedicaidMA
110027914DMedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Day Hab3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1831471655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CLAPBOARDTREE ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020901717",
            "telephone_number": "781-762-4001",
            "fax_number": "781-461-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 CLAPBOARDTREE ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020901717",
            "telephone_number": "781-762-4001",
            "fax_number": "781-461-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH NORFOLK COUNTY ASSOCIATION FOR RETARDED CITIZENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-762-4001",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MA",
            "license": "253J00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110027914B",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110027914A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110027914D",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.