Active NPI
Wild Acre Inns, Inc.
- Mental Illness Community Based Residential Treatment Facility
- Arlington, MA
National Provider Identifier
1851561120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- BMS007
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92593 | Other | MA | CIGNA |
| 024990 | Other | MA | VALUE OPTIONS |
| 1005680 | Other | MA | BEACON HEALTH STRATEGIES |
National Provider Directory
National Provider DirectoryLocations
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.