HABIT OPTCO ACADIA HEALTHCARE NPI 1053845354

NPI Information

NPI: 1053845354
Provider Name: HABIT OPTCO ACADIA HEALTHCARE
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 22D2121004

Address:
11 CIRCLE AVE
LYNN, MA
ZIP 01905
Phone: (781) 595-2413
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HABIT OPTCO ACADIA HEALTHCARE is a public health or welfare in Lynn, MA. HABIT OPTCO ACADIA HEALTHCARE NPI is 1053845354. The provider is registered as an organization entity type.

The provider's business location address is:

11 CIRCLE AVE
LYNN, MA
ZIP 01905-050
Phone: (781) 595-2413

The provider's authorized official is Dan Sullivan .
The authorized official title is Supervisor and has the following contact phone number (781) 595-2413.

The CLIA number assigned to this NPI record is 22D2121004 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2017 and was last updated on 4/13/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare		0801	MASSACHUSETTS	Yes

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

NPI Synchronization or Removal

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