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NORTH SHORE ASSOCIATION FOR RETARDED CITIZENS INC NPI 1184849606


NPI Information

NPI: 1184849606
Provider Name: NORTH SHORE ASSOCIATION FOR RETARDED CITIZENS, INC

Doing Business As: NORTH SHORE ARC

Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
64 HOLTEN ST
DANVERS, MA
ZIP 01923
Phone: (978) 762-4878
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NORTH SHORE ASSOCIATION FOR RETARDED CITIZENS, INC is a developmental disabilities clinic center in Danvers, MA. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). NORTH SHORE ASSOCIATION FOR RETARDED CITIZENS, INC NPI is 1184849606. The provider is registered as an organization entity type.
The provider Is Doing Business As North Shore Arc.

The provider's business location address is:

64 HOLTEN ST
DANVERS, MA
ZIP 01923-973
Phone: (978) 762-4878
Fax: (978) 777-6149

The provider's authorized official is Gary Penniman .
The authorized official title is Chief Financial Officer and has the following contact phone number (978) 762-4878.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 8/22/2020.


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
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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
11801686MEDICAIDMASSACHUSETTS
21802984MEDICAIDMASSACHUSETTS

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: 11/14/2023

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