The Shared Living Collaborative, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

VC0000353588 Issued in MA

Legal business name

THE SHARED LIVING COLLABORATIVE, INC.

Practice address

117 E Main St
Merrimac, MA 01860-1640

Phone

(978) 346-8802

Fax

(978) 346-8550

NPI assigned

Apr 12, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Daniela Morse

Title

C.E.O

Phone

(978) 346-8802

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1912223314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E MAIN ST",
            "city": "MERRIMAC",
            "state": "MA",
            "postal_code": "018601640",
            "telephone_number": "978-346-8802",
            "fax_number": "978-346-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E MAIN ST",
            "city": "MERRIMAC",
            "state": "MA",
            "postal_code": "018601640",
            "telephone_number": "978-346-8802",
            "fax_number": "978-346-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHARED LIVING COLLABORATIVE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "978-346-8802",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "VC0000353588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Town of Merrimac (Board of Health)
• Town of Merrimac (Merrimac Fire Dept)

• Community/Behavioral Health Agency in Merrimac, MA
• Providers in Merrimac, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.