Provider Type Icon

BEAVERBROOK STEP INC. NPI 1205387727


NPI Information

NPI: 1205387727
Provider Name: BEAVERBROOK STEP, INC.
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization

CLIA Number: 22D2099877

Address:
85 MAIN ST
2ND FLOOR
WATERTOWN, MA
ZIP 02472
Phone: (617) 974-0148
Get Directions

BEAVERBROOK STEP, INC. is a day training developmentally disabled services in Watertown, 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. BEAVERBROOK STEP, INC. NPI is 1205387727. The provider is registered as an organization entity type.

The provider's business location address is:

85 MAIN ST
2ND FLOOR
WATERTOWN, MA
ZIP 02472-411
Phone: (617) 974-0148
Fax: (617) 926-1227

The provider's authorized official is Virginia A Connolly .
The authorized official title is Executive Director and has the following contact phone number (617) 926-1113.

The CLIA number assigned to this NPI record is 22D2099877 - other - serv for people w/ dd with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2016 and was last updated on 10/19/2016.


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
1251C00000XDay Training, Developmentally Disabled Services201069MASSACHUSETTSYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.