BASS RIVER DAY ACTIVITY PROGRAM INC. NPI 1629105382

NPI Information

  • NPI: 1629105382
  • Provider Name: BASS RIVER DAY ACTIVITY PROGRAM, INC.
  • Classification: Day Training, Developmentally Disabled Services - 251C00000X
  • Entity Type: Organization
  • Doing Business As: BASS RIVER, INC
  • CLIA Number: 22D2244472
  • Address: 437 ESSEX ST
    BEVERLY, MA
    ZIP 01915
  • Phone: (978) 927-5326

Map and Directions

Get Directions

NPI Details

BASS RIVER DAY ACTIVITY PROGRAM, INC. is a day training developmentally disabled services in Beverly, 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. BASS RIVER DAY ACTIVITY PROGRAM, INC. NPI is 1629105382. The provider is registered as an organization entity type.
The provider Is Doing Business As Bass River, Inc.

The provider's business location address is:

437 ESSEX ST
BEVERLY, MA
ZIP 01915-311
Phone: (978) 927-5326
Fax: (978) 922-3109

The provider's authorized official is Edward A Potvin .
The authorized official title is Executive Director and has the following contact phone number (978) 927-5326.

The CLIA number assigned to this NPI record is 22D2244472 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 1/25/2013.

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 Services1308548MASSACHUSETTSYes

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
11308548MEDICAIDMASSACHUSETTS
21319141MEDICAIDMASSACHUSETTS

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI