BAY COVE HUMAN SERVICES, INC. (NPI# 1033293881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033293881 |
| Entity Type | Organization |
| Organization Name | BAY COVE HUMAN SERVICES, INC. |
| Other Organization Name | KIT CLARK SENIOR SERVICES |
| Practice Address |
1500 Dorchester Ave. Dorchester MA 02122-1327 |
| Mailing Address |
66 Canal St. Boston MA 02114-9660 |
| Practice Telephone | 6178255000 |
| Practice Fax Number | 6172885991 |
| Mailing Telephone | 6173713062 |
| Mailing Fax Number | 6173713100 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2015-07-24 |
| Authorized Official Name | MRS. KERRY J HORGOS (CFO, SVP FINANCE) |
| Authorized Official Telephone | 6173713007 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAY COVE HUMAN SREVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1905716 | 05 | |
| MA | 1905724 | 05 | |
| MA | 1905732 | 05 |
| Other Name | Type Code |
|---|---|
| Kit Clark Senior Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629528492 | Bay Cove Human Services, Inc. | Clinic/Center | 66 Canal St, Boston, MA 02114-2002 | 2016-10-05 |
| 1245601269 | Bay Cove Human Services, Inc. | Clinic/Center | 645 Washington St, Dorchester, MA 02124-3510 | 2015-10-16 |
| 1659644961 | Bay Cove Human Services, Inc. | Clinic/Center | 170 Morton St., 4th Floor South, Jamaica Plain, MA 02130-6562 | 2012-02-16 |
| 1043518871 | Bay Cove Human Services, Inc. | Substance Abuse Rehabilitation Facility | 1134 Main St, South Weymouth Naval Air Station Building 115, Weymouth, MA 02190-1559 | 2011-03-02 |
| 1609045665 | Bay Cove Human Services, Inc. | Clinic/Center | 1500 Dorchester Ave, Dorchester, MA 02122-1327 | 2008-02-25 |
| Street Address |
1500 DORCHESTER AVE. |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02122-1327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720875 | Joey Mark Nguyen | Pharmacist | 747 Gallivan Blvd, Dorchester, MA 02122 | 2020-08-14 |
| 1518575240 | Hamilton Pharmacy LLC | Pharmacy | 246 Bowdoin St, Dorchester, MA 02122 | 2020-07-20 |
| 1336789528 | Katheline Leconte | Social Worker | 230 Bowdoin Street, Dorchester, MA 02122 | 2020-01-15 |
| 1700374725 | Renee Ahern | Registered Nurse | 398 Neponset Ave., Dorchester, MA 02122 | 2018-04-25 |
| 1861902371 | Bridget Mary Walsh | Specialist/Technologist | 519 Ashmont St, Dorchester, MA 02122 | 2017-10-10 |
| 1649798133 | Roosevelt Lewis IIi | Registered Nurse | 1486 Dorchester Ave Ste 206, Boston, MA 02122 | 2017-09-05 |
| 1811427404 | Hanh Nguyen | Counselor | 50 Redfield St, Suite 300, Dorchester, MA 02122 | 2017-06-15 |
| 1669902474 | Thuy T Nguyen | Counselor | 415 Neponset Avenue, Dorchester, MA 02122 | 2017-06-14 |
| 1093262651 | David Scot Rapaport | Counselor | 1452 Dorchester Avenue, Fcbl-4, Boston, MA 02122 | 2016-09-01 |
| 1104372960 | Kevin Lyn Sisson | Student in an Organized Health Care Education/Training Program | 417 Neponset Ave, Boston, MA 02122 | 2016-08-31 |
| Find all providers in zip 02122 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | DORCHESTER |
| Zip Code | 02122 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.