DEPARTMENT OF DEVELOPMENTAL SERVICES NPI 1659594976

NPI Information

NPI: 1659594976
Provider Name: DEPARTMENT OF DEVELOPMENTAL SERVICES

Doing Business As: GLAVIN REGIONAL CENTER

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
GLAVIN REGIONAL CNTR
214 LAKE ST
SHREWSBURY, MA
ZIP 01545
Phone: (508) 792-7452
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DEPARTMENT OF DEVELOPMENTAL SERVICES is an intermediate care facility mentally retarded in Shrewsbury, MA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. DEPARTMENT OF DEVELOPMENTAL SERVICES NPI is 1659594976. The provider is registered as an organization entity type.
The provider Is Doing Business As Glavin Regional Center.

The provider's business location address is:

GLAVIN REGIONAL CNTR
214 LAKE ST
SHREWSBURY, MA
ZIP 01545
Phone: (508) 792-7452

The provider's authorized official is Jeanette Maillet .
The authorized official title is C F O and has the following contact phone number (617) 624-7814.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 9/29/2009.

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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

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
1	913804	MEDICAID	MASSACHUSETTS

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

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