SHORE EDUCATIONAL COLLABORATIVE (NPI# 1245458009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245458009 |
Entity Type | Organization |
Organization Name | SHORE EDUCATIONAL COLLABORATIVE |
Practice Address |
800 Cummings Ctr Suite 166t Beverly MA 01915-6175 |
Practice Telephone | 9782329552 |
Mailing Telephone | 9782329552 |
Enumeration Date | 2007-04-24 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. MARYANN LUCIA (DIRECTOR OF FINANCE) |
Authorized Official Telephone | 6178872930 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | MA | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 1300334 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730307505 | Shore Educational Collaborative | Day Training, Developmentally Disabled Services | 4 Audubon Rd, Wakefield, MA 01880-1203 | 2007-04-24 |
1033249651 | Shore Educational Collaborative | Day Training, Developmentally Disabled Services | 100 Revere Beach Pkwy, Chelsea, MA 02150-1543 | 2007-03-06 |
1750509527 | Shore Educational Collaborative | Day Training, Developmentally Disabled Services | 10 Technology Dr, Peabody, MA 01960-7976 | 2007-04-24 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | SHORE EDUCATIONAL COLLABORATIVE FOUNDATION, INC. | 100 Revere Beach Parkway, Chelsea, MA 02150 |
Street Address |
800 CUMMINGS CTR SUITE 166T |
City | BEVERLY |
State | MA |
Zip Code | 01915-6175 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992722714 | Susan Rudman | Psychologist | 800 Cummings Ctr, Suite 266t, Beverly, MA 01915-6175 | 2006-07-16 |
1851928337 | Tyler Eanes | Counselor | 800 Cummings Ctr, Beverly, MA 01915-6175 | 2020-03-25 |
1477196475 | Victoria Lyman | Counselor | 800 Cummings Ctr, Beverly, MA 01915-6175 | 2019-10-22 |
1588211189 | Riley Nicole Gately | Counselor | 800 Cummings Ctr, Beverly, MA 01915-6175 | 2019-08-20 |
1275189680 | Hilary Gordon | Counselor | 800 Cummings Ctr, Beverly, MA 01915-6175 | 2019-08-12 |
1679030159 | Rhina R Houston | Social Worker | 800 Cummings Ctr, Beverly, MA 01915-6175 | 2019-02-21 |
1982173829 | Marion Elise Walker | Counselor | 800 Cummings Ctr, Beverly, MA 01915-6175 | 2018-11-21 |
1891263042 | Megan Dixon | Social Worker | 800 Cummings Ctr, Beverly, MA 01915-6175 | 2018-11-06 |
1457835118 | Ariel Christopher | Social Worker | 800 Cummings Ctr, Beverly, MA 01915-6175 | 2018-09-19 |
1740764505 | Chuck Downing | Social Worker | 800 Cummings Ctr, Beverly, MA 01915-6175 | 2018-09-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
Find all providers in zip 01915 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629105382 | Bass River Day Activity Program, Inc. | Day Training, Developmentally Disabled Services | 437 Essex St, Beverly, MA 01915-1311 | 2007-02-28 |
1861646564 | Communitas, Inc. | Day Training, Developmentally Disabled Services | 800 Cummings Center, Suite 166s, Beverly, MA 01915 | 2008-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790385631 | Dynamic Support Team LLC | Day Training, Developmentally Disabled Services | 20 Commercial Dr, Dracut, MA 01826-2837 | 2020-10-29 |
1992363741 | Lifelinks, Inc | Day Training, Developmentally Disabled Services | 50t Concord St, Wilmington, MA 01887-2179 | 2019-06-05 |
1710541479 | Northeast Arc | Day Training, Developmentally Disabled Services | 100 Independence Way Ste W150, Danvers, MA 01923-3626 | 2019-04-29 |
1841758463 | Launchpad LLC | Day Training, Developmentally Disabled Services | 3 Oakhill Ave, Foxborough, MA 02035-2926 | 2019-03-04 |
1295290765 | Moving Forward Inc. | Day Training, Developmentally Disabled Services | 141 Falmouth Rd, Hyannis, MA 02601-2755 | 2019-02-08 |
1326570235 | Venture Community Services, Inc | Day Training, Developmentally Disabled Services | 670 Douglas St, Uxbridge, MA 01569-2001 | 2017-03-30 |
1063964351 | Autism Advocates of New England Inc | Day Training, Developmentally Disabled Services | 10 Ashburnham Rd, Worcester, MA 01605-1310 | 2016-11-02 |
1205208220 | Ashley Ortiz | Day Training, Developmentally Disabled Services | 90 Fenno St, Revere, MA 02151-3808 | 2015-10-29 |
1083092274 | Cardinal Cushing Centers, Inc. | Day Training, Developmentally Disabled Services | 291 Rockland St, Hanover, MA 02339-2385 | 2015-05-08 |
1245649151 | Nupath Inc. | Day Training, Developmentally Disabled Services | 7 Lyberty Way, Westford, MA 01886-3617 | 2014-08-05 |
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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.