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BAY COVE HUMAN SERVICES INC. NPI 1043518871


NPI Information

NPI: 1043518871
Provider Name: BAY COVE HUMAN SERVICES, INC.

Other Name: BAY COVE HUMAN SERVICES TSS

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1134 MAIN ST
SOUTH WEYMOUTH NAVAL AIR STATION BUILDING 115
WEYMOUTH, MA
ZIP 02190
Phone: (617) 878-2558
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BAY COVE HUMAN SERVICES, INC. is a substance abuse rehabilitation facility in Weymouth, MA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. BAY COVE HUMAN SERVICES, INC. NPI is 1043518871. The provider is registered as an organization entity type.
The provider Other Name Is Bay Cove Human Services Tss.

The provider's business location address is:

1134 MAIN ST
SOUTH WEYMOUTH NAVAL AIR STATION BUILDING 115
WEYMOUTH, MA
ZIP 02190-559
Phone: (617) 878-2558
Fax: (617) 878-2570

The provider's authorized official is Kerry J. Horgos .
The authorized official title is Chief Financial Officer and has the following contact phone number (617) 371-3007.

The enumeration date for this NPI number is 3/2/2011 and was last updated on 3/2/2011.


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
1324500000XSubstance Abuse Rehabilitation FacilityDPH LIC #0007MASSACHUSETTSYes

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
1110026203FMEDICAIDMASSACHUSETTS
2110026203HMEDICAIDMASSACHUSETTS
3110026203DMEDICAIDMASSACHUSETTS
4110026203GMEDICAIDMASSACHUSETTS
5110026203AMEDICAIDMASSACHUSETTS
6110026203BMEDICAIDMASSACHUSETTS
7110026203IMEDICAIDMASSACHUSETTS
8Y10311MEDICARE PINMASSACHUSETTS
9110026203EMEDICAIDMASSACHUSETTS
10110026203CMEDICAIDMASSACHUSETTS

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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