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SHORE EDUCATIONAL COLLABORATIVE NPI 1750509527


NPI Information

NPI: 1750509527
Provider Name: SHORE EDUCATIONAL COLLABORATIVE
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
10 TECHNOLOGY DR
PEABODY, MA
ZIP 01960
Phone: (978) 854-0021
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SHORE EDUCATIONAL COLLABORATIVE is a day training developmentally disabled services in Peabody, 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. SHORE EDUCATIONAL COLLABORATIVE NPI is 1750509527. The provider is registered as an organization entity type.

The provider's business location address is:

10 TECHNOLOGY DR
PEABODY, MA
ZIP 01960-976
Phone: (978) 854-0021

The provider's authorized official is Maryann Lucia .
The authorized official title is Director Of Finance and has the following contact phone number (617) 887-2930.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 8/22/2020.


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
1251C00000XDay Training, Developmentally Disabled ServicesMASSACHUSETTSYes

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
11300756MEDICAIDMASSACHUSETTS

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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