1992897656 NPI number — NEW ENGLAND HOME THERAPIES, INC.

Table of content: (NPI 1992897656)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992897656 NPI number — NEW ENGLAND HOME THERAPIES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW ENGLAND HOME THERAPIES, 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:
Provider Other Organization Name Type Code:
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:
1992897656
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/22/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 418711
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOSTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02241-8711
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-879-6137
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
337 TURNPIKE RD
Provider Second Line Business Practice Location Address:
SOUTHBOROUGH TECH PARK
Provider Business Practice Location Address City Name:
SOUTHBOROUGH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01772-1760
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-480-8409
Provider Business Practice Location Address Fax Number:
508-480-0639
Provider Enumeration Date:
09/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BERMAN
Authorized Official First Name:
CLIFFORD
Authorized Official Middle Name:
Authorized Official Title or Position:
SVP, GENERAL COUNSEL, SECRETARY
Authorized Official Telephone Number:
800-879-6137

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BP3500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: DS3486 . This is a "LICENSE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: NR0590 . This is a "LICENSE" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 1500040 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: PHN10026 . This is a "LICENSE" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 155280001 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0408077 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30701026 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".




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