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DEPARTMENT OF DEVELOPMENTAL SERVICES NPI 1730307513


NPI Information

NPI: 1730307513
Provider Name: DEPARTMENT OF DEVELOPMENTAL SERVICES

Doing Business As: TEMPLETON DEVELOPMENTAL CENTER

Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization

CLIA Number: 22D0862145

Address:
212 FREIGHT SHED RD
TEMPLETON DEV CNTR
BALDWINVILLE, MA
ZIP 01436
Phone: (978) 939-2161
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DEPARTMENT OF DEVELOPMENTAL SERVICES is an intermediate care facility mentally retarded in Baldwinville, MA. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. DEPARTMENT OF DEVELOPMENTAL SERVICES NPI is 1730307513. The provider is registered as an organization entity type.
The provider Is Doing Business As Templeton Developmental Center.

The provider's business location address is:

212 FREIGHT SHED RD
TEMPLETON DEV CNTR
BALDWINVILLE, MA
ZIP 01436
Phone: (978) 939-2161

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 CLIA number assigned to this NPI record is 22D0862145 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 10/1/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Mentally RetardedYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1920185MEDICAIDMASSACHUSETTS

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: 11/14/2023

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