Organization Active NPI

Wild Acre Inns, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Arlington, MA
National Provider Identifier
1851561120
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BMS007 Issued in MA
Legal business name
WILD ACRE INNS, INC.
Practice address
108 Pleasant St
Arlington, MA 02476-8138
Phone
(781) 643-0643
Fax
(781) 648-2859
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Jennifer Marie Finch, LMHC,LADC1
Title
Director of Admissions/Utilization
Phone
(781) 643-0643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BMS007 MA Primary

Addresses

Primary practice location

108 Pleasant St
Arlington, MA 02476-8138

Mailing address

108 Pleasant St
Arlington, MA 02476-8138
Phone (781) 643-0643

Other identifiers 3

IdentifierTypeStateIssuer
92593OtherMACIGNA
024990OtherMAVALUE OPTIONS
1005680OtherMABEACON HEALTH STRATEGIES

National Provider Directory

National Provider Directory

Locations

108 Pleasant St
Arlington, MA 02476
Phone (781) 643-0643

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1851561120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PLEASANT ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024768138",
            "telephone_number": "781-643-0643",
            "fax_number": "781-648-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PLEASANT ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024768138",
            "telephone_number": "781-643-0643",
            "fax_number": "781-648-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD ACRE INNS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "FINCH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF ADMISSIONS/UTILIZATION",
        "authorized_official_telephone_number": "781-643-0643",
        "authorized_official_credential": "LMHC,LADC1"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MA",
            "license": "BMS007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "92593",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "024990",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRATEGIES",
            "identifier": "1005680",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.