Organization Active NPI

Stevens-Children'S Home, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Swansea, MA
National Provider Identifier
1962817387
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
9010560 Issued in MA
Legal business name
STEVENS-CHILDREN'S HOME, INC.
Practice address
24 Main St
Swansea, MA 02777-4620
Phone
(508) 679-0183
Fax
(508) 679-1950
NPI assigned
Jun 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Mr. Charles Raymond Miller
Title
Director of Administration
Phone
(508) 679-0183

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 9010560 MA Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 9010559 MA

Addresses

Primary practice location

24 Main St
Swansea, MA 02777-4620

Mailing address

24 Main St
Swansea, MA 02777-4620
Phone (508) 679-0183

Other names 1

  • Stevens Treatment Programs Doing business as

National Provider Directory

National Provider Directory

Locations

24 Main St
Swansea, MA 02777
Phone (508) 679-0183

Practitioners & affiliated clinicians

Practitioners 4

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": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1962817387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MAIN ST",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027774620",
            "telephone_number": "508-679-0183",
            "fax_number": "508-679-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MAIN ST",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027774620",
            "telephone_number": "508-679-0183",
            "fax_number": "508-679-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENS-CHILDREN'S HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "508-679-0183",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MA",
            "license": "9010560",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MA",
            "license": "9010559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stevens Treatment Programs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Swansea, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.