South Shore Arc, Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

SOUTH SHORE ARC, INC

Practice address

371 River St
North Weymouth, MA 02191-2200

Phone

(781) 335-3025

Fax

(781) 413-2214

NPI assigned

Jan 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Daryl Cook

Title

Executive Director

Phone

(781) 335-3025

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SOUTH SHORE ARC Other name

Tax ID family

South Shore Arc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• South Shore Arc, Inc

  • Developmental Disabilities Clinic/Center
  • South Weymouth, MA
  • NPI 1164562062
  NPD tax ID
• The Arc of the South Shore, Inc

  • Community/Behavioral Health Agency
  • Hingham, MA
  • NPI 1609176635
  NPD tax ID
• The Arc of the South Shore, Inc.

  • Supports Brokerage Agency
  • Hingham, MA
  • NPI 1447306089
  NPD tax ID

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861547010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 RIVER ST",
            "city": "NORTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021912200",
            "telephone_number": "781-335-3025",
            "fax_number": "781-413-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 RIVER ST",
            "city": "NORTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021912200",
            "telephone_number": "781-335-3025",
            "fax_number": "781-413-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE ARC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "DARYL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "781-335-3025",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1312189",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH SHORE ARC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anna A Manatis, M.D.
• Rania S Mehanna, D.M.D
• Catherine O'Connell, M.ED., LMHC, LADCI
• Susan F Peterson, RRT
• Rania S. Mehanna DMD PC (Horizon Dental)

• Developmentally Disabled Services Day Training Agency in North Weymouth, MA
• Providers in North Weymouth, MA by specialty
• Developmentally Disabled Services Day Training Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.