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MAB COMMUNITY SERVICES INC NPI 1023329414


NPI Information

NPI: 1023329414
Provider Name: MAB COMMUNITY SERVICES, INC
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization

CLIA Number: 22D2074209

Address:
29 DENBY RD
ALLSTON, MA
ZIP 02134
Phone: (617) 830-5425
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MAB COMMUNITY SERVICES, INC is a day training developmentally disabled services in Allston, MA. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. MAB COMMUNITY SERVICES, INC NPI is 1023329414. The provider is registered as an organization entity type.

The provider's business location address is:

29 DENBY RD
ALLSTON, MA
ZIP 02134
Phone: (617) 830-5425
Fax: (617) 254-0208

The provider's authorized official is Barbara Salisbury .
The authorized official title is Chief Executive Officer and has the following contact phone number (617) 732-0238.

The CLIA number assigned to this NPI record is 22D2074209 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2010 and was last updated on 4/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled Services64 C 110028905CMASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19738380MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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