NPIMap

Organization Active NPI

Communitas, Inc.

Doing business as Life Choices Beverly

  • Developmentally Disabled Services Day Training Agency
  • Beverly, MA
National Provider Identifier
1861646564
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
COMMUNITAS, INC.
Doing business as
Life Choices Beverly
Life Choices North
Practice address
800 Cummings Center
Suite 166S
Beverly, MA 01915
Phone
(978) 279-2100
Fax
(978) 279-2105
NPI assigned
Nov 7, 2008
Last updated
Feb 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Mr. Paul J Cote Jr.
Title
Ceo & Cfo
Phone
(781) 587-2220

Specialties & licenses 1

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

Addresses

Primary practice location

800 Cummings Center
Suite 166S
Beverly, MA 01915

Mailing address

60 D Audubon Road
Wakefield, MA 01880
Phone (781) 587-2200

Other identifiers 1

IdentifierTypeStateIssuer
1300814MedicaidMA

Other names 2

  • Life Choices Beverly Doing business as
  • Life Choices North Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Communitas Inc4 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.

Locations

800 Cummings Ctr
Ste 166S
Beverly, MA 01915
Phone (978) 236-1300

950 Cummings Ctr
Ste 105X
Beverly, MA 01915
Phone (978) 500-5841

20 Gould St
Reading, MA 01867
Phone (781) 454-7824

60D Audubon Rd
Wakefield, MA 01880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1861646564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 D AUDUBON ROAD",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "01880",
            "telephone_number": "781-587-2200",
            "fax_number": "781-587-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CUMMINGS CENTER",
            "address_2": "SUITE 166S",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-279-2100",
            "fax_number": "978-279-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "COTE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO & CFO",
        "authorized_official_telephone_number": "781-587-2220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300814",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Choices Beverly",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Choices North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.