COMMONWEALTH OF MASS - DDS NPI 1598957391

NPI Information

  • NPI: 1598957391
  • Provider Name: COMMONWEALTH OF MASS - DDS
  • Classification: Intermediate Care Facility, Mental Illness - 310500000X
  • Entity Type: Organization
  • Doing Business As: HOGAN REGIONAL CENTER
  • CLIA Number: 22D2206773
  • Address: 450 MAPLE STREET
    HATHORNE, MA
    ZIP 01937
  • Phone: (978) 774-5000

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NPI Details

COMMONWEALTH OF MASS - DDS is an intermediate care facility mental illness in Hathorne, MA. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. COMMONWEALTH OF MASS - DDS NPI is 1598957391. The provider is registered as an organization entity type.
The provider Is Doing Business As Hogan Regional Center.

The provider's business location address is:

450 MAPLE STREET
HATHORNE, MA
ZIP 01937
Phone: (978) 774-5000

The provider's authorized official is Jeanette Maillet .
The authorized official title is Chief Financial Officer and has the following contact phone number (617) 727-5608.

The CLIA number assigned to this NPI record is 22D2206773 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/15/2007 and was last updated on 10/6/2009.

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
1310500000XIntermediate Care Facility, Mental IllnessYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10909505MEDICAIDMASSACHUSETTS

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: 11/21/2025

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