STANLEY STREET TREATMENT AND RESOURCES INC. NPI 1689693343

NPI Information

NPI: 1689693343
Provider Name: STANLEY STREET TREATMENT AND RESOURCES, INC.

Other Name: SSTAR

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

Address:
386 STANLEY ST
FALL RIVER, MA
ZIP 02720
Phone: (508) 679-5222
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STANLEY STREET TREATMENT AND RESOURCES, INC. is a substance abuse rehabilitation facility in Fall River, 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. STANLEY STREET TREATMENT AND RESOURCES, INC. NPI is 1689693343. The provider is registered as an organization entity type.
The provider Other Name Is Sstar.

The provider's business location address is:

386 STANLEY ST
FALL RIVER, MA
ZIP 02720-009
Phone: (508) 679-5222
Fax: (508) 673-3182

The provider's authorized official is Sherry A Ellis .
The authorized official title is Chief Executive Officer and has the following contact phone number (508) 235-3500.

The CLIA number assigned to this NPI record is 22D0938610 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/19/2006 and was last updated on 12/16/2023.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	0501	MASSACHUSETTS	No
2	261QM2800X	Clinic/Center	Methadone			No
3	324500000X	Substance Abuse Rehabilitation Facility		0118	MASSACHUSETTS	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	1306685	OTHER	MASSACHUSETTS	MBHP O/P M/H
2	1306685	MEDICAID	MASSACHUSETTS
3	FAL2225000701	OTHER	MASSACHUSETTS	BCBS I/P
4	295763	OTHER	MASSACHUSETTS	MAGELLAN
5	A005312/008588	OTHER	MASSACHUSETTS	VALUE OPTIONS
6	1002950	OTHER	MASSACHUSETTS	BEACON
7	725921	OTHER	MASSACHUSETTS	TUFTS
8	FAL2225000710	OTHER	MASSACHUSETTS	BCBS O/P
9	1306391	OTHER	MASSACHUSETTS	MBHP I/P
10	000000008464	OTHER	MASSACHUSETTS	BMC
11	STA2223014140	OTHER	MASSACHUSETTS	BCBS M/H

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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