1467591172 NPI number — SOUTH NORFOLK COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC

Table of content: (NPI 1467591172)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467591172 NPI number — SOUTH NORFOLK COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTH NORFOLK COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SENIOR CONNECTIONS
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467591172
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
789 CLAPBOARDTREE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WESTWOOD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02090-1717
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-762-4001
Provider Business Mailing Address Fax Number:
781-461-5950

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2070 CENTRE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST ROXBURY
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02132-3328
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-469-1986
Provider Business Practice Location Address Fax Number:
617-469-0571
Provider Enumeration Date:
02/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ABEL
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
F
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
781-762-4001

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1948598 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




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