NPIMap

Organization Active NPI

Southern Worcester County Arc Inc

  • Developmentally Disabled Services Day Training Agency
  • Southbridge, MA
National Provider Identifier
1861663445
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SOUTHERN WORCESTER COUNTY ARC INC
Practice address
100 Foster St
Southbridge, MA 01550-2595
Phone
(508) 764-4085
Fax
(508) 765-0255
NPI assigned
Mar 21, 2008
Organization subpart
Yes
Parent organization
SOUTHERN WORCESTER COUNTY ARC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Mr. James E Howard
Title
Executive Director
Phone
(508) 764-4085

Specialties & licenses 1

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

Addresses

Primary practice location

100 Foster St
Southbridge, MA 01550-2595

Mailing address

PO Box 66
Southbridge, MA 01550-0066
Phone (508) 764-4085

Other identifiers 5

IdentifierTypeStateIssuer
1317563MedicaidMA
1300148MedicaidMA
1317571MedicaidMA
1901419MedicaidMA
1304330MedicaidMA

Other names 1

  • Center of Hope Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2310628Center of Hope Foundation100 Foster St, Southbridge, MA 01550Certificate of waiverSep 5, 2026

National Provider Directory

National Provider Directory
Tax ID family
Southern Worcester County Arc Inc6 organizations share this tax ID, including this one
Part of
Southern Worcester County Arc Inc

Other organizations with this tax ID 5

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

Locations

100 Foster St
Southbridge, MA 01550
Phone (508) 764-4085

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1861663445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015500066",
            "telephone_number": "508-764-4085",
            "fax_number": "508-765-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FOSTER ST",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015502595",
            "telephone_number": "508-764-4085",
            "fax_number": "508-765-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN WORCESTER COUNTY ARC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN WORCESTER COUNTY ARC INC",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-764-4085",
        "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": "1317563",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300148",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1317571",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1901419",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1304330",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center of Hope",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southbridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.