NPIMap

Organization Active NPI

Emh Recovery, Inc.

  • Substance Abuse Rehabilitation Facility
  • Brockton, MA
National Provider Identifier
1902181654
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
0201 Issued in MA
Legal business name
EMH RECOVERY, INC.
Practice address
678 N Main St
Brockton, MA 02301-2444
Phone
(508) 583-0493
Fax
(508) 583-4317
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Judith M McDonough, LADC-1, M.ED
Title
Executive Director
Phone
(508) 583-0493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 0201 MA Primary

Addresses

Primary practice location

678 N Main St
Brockton, MA 02301-2444

Mailing address

678 N Main St
Brockton, MA 02301-2444
Phone (508) 583-0493

Other identifiers 1

IdentifierTypeStateIssuer
0201MedicaidMA

Other names 1

  • Edwina Martin House Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1902181654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 N MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012444",
            "telephone_number": "508-583-0493",
            "fax_number": "508-583-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 N MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012444",
            "telephone_number": "508-583-0493",
            "fax_number": "508-583-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMH RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-583-0493",
        "authorized_official_credential": "LADC-1, M.ED"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MA",
            "license": "0201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0201",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edwina Martin House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.