NPIMap

Organization Active NPI

Northeast Arc, Inc.

  • Community/Behavioral Health Agency
  • Danvers, MA
National Provider Identifier
1912030917
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NORTHEAST ARC, INC.
Practice address
64 Holten Street
Danvers, MA 01923-1973
Phone
(978) 762-4878
Fax
(978) 777-6149
NPI assigned
Mar 13, 2007
Last updated
Mar 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Mr. Gary Penniman
Title
Cfo
Phone
(978) 624-2445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

64 Holten Street
Danvers, MA 01923-1973

Mailing address

64 Holten Street
Danvers, MA 01923-1973
Phone (978) 762-4878

Other identifiers 7

IdentifierTypeStateIssuer
1999826OtherMAPCA PAYROLL
1311263OtherMACORNERSTONE DAY HABILITAT
1801686OtherMACAPE ANN EARLY INTERVENTI
1311522OtherMAMERRIDIAN DAY HABILITATIO
1906577OtherMAADULT FOSTER CARE
1802984OtherMAFAMILY SUPPORT EARLY INTE
1990250OtherMAFI ADMINISTRATION

Other names 1

  • North Shore Assoc For Retarded Citizens Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Northeast Arc Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1912030917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 HOLTEN STREET",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231973",
            "telephone_number": "978-762-4878",
            "fax_number": "978-777-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 HOLTEN STREET",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231973",
            "telephone_number": "978-762-4878",
            "fax_number": "978-777-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ARC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "PENNIMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "978-624-2445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCA PAYROLL",
            "identifier": "1999826",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORNERSTONE DAY HABILITAT",
            "identifier": "1311263",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPE ANN EARLY INTERVENTI",
            "identifier": "1801686",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERRIDIAN DAY HABILITATIO",
            "identifier": "1311522",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT FOSTER CARE",
            "identifier": "1906577",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY SUPPORT EARLY INTE",
            "identifier": "1802984",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FI ADMINISTRATION",
            "identifier": "1990250",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Shore Assoc For Retarded Citizens Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.