NPIMap

Organization Active NPI

Habilitation Assistance Corporation

  • Developmentally Disabled Services Day Training Agency
  • Braintree, MA
National Provider Identifier
1861611048
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
HABILITATION ASSISTANCE CORPORATION
Practice address
30 Foster Rd
Braintree, MA 02184-7814
Phone
(508) 746-7433
Fax
(508) 746-7544
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Allen Eddy
Title
President
Phone
(508) 746-7433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

30 Foster Rd
Braintree, MA 02184-7814

Mailing address

434 Court St
Plymouth, MA 02360-7312
Phone (508) 746-7433

Other identifiers 1

IdentifierTypeStateIssuer
1304968MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Habilitation Assistance Corporation5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

30 Foster Rd
Braintree, MA 02184
Phone (508) 746-7433

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861611048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 COURT ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607312",
            "telephone_number": "508-746-7433",
            "fax_number": "508-746-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 FOSTER RD",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021847814",
            "telephone_number": "508-746-7433",
            "fax_number": "508-746-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABILITATION ASSISTANCE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-746-7433",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "1304968",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

  • 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.