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BAYSTATE RECOVERY SERVICES LLC NPI 1679190748


NPI Information

NPI: 1679190748
Provider Name: BAYSTATE RECOVERY SERVICES LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 22D2208526

Address:
950 CUMMINGS CTR STE 106X
BEVERLY, MA
ZIP 01915
Phone: (978) 852-7099
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BAYSTATE RECOVERY SERVICES LLC is a substance abuse rehabilitation facility in Beverly, MA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. BAYSTATE RECOVERY SERVICES LLC NPI is 1679190748. The provider is registered as an organization entity type.

The provider's business location address is:

950 CUMMINGS CTR STE 106X
BEVERLY, MA
ZIP 01915-274
Phone: (978) 852-7099

The provider's authorized official is John Checchi .
The authorized official title is Owner and has the following contact phone number (978) 852-7099.

The CLIA number assigned to this NPI record is 22D2208526 - other - sud day treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/6/2020 and was last updated on 7/6/2020.


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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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: 4/28/2024

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