INTERIM HOUSE INC (NPI# 1508136177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508136177 |
| Entity Type | Organization |
| Organization Name | INTERIM HOUSE INC |
| Practice Address |
62 Waldeck St Dorchester MA 02124-1329 |
| Practice Telephone | 6172652636 |
| Mailing Telephone | 6172652636 |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |
| Authorized Official Name | MR. ROBERT RALPH MADARUSO (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6172652636 |
| Authorized Official Credential | LADC1 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 1697 | MA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275674871 | Interim House Inc | Community/Behavioral Health | 333 W Upsal St, Philadelphia, PA 19119-4010 | 2007-02-08 |
| 1073650388 | Interim House Inc | Community/Behavioral Health | 333 W Upsal Street, Philadelphia, PA 19119 | 2007-01-30 |
| 1184765786 | Interim House Inc | Community/Behavioral Health | 333 W Upsal St, Philadelphia, PA 19119-4010 | 2007-02-08 |
| Street Address |
62 WALDECK ST |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02124-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109599 | Yolanda Barner | Behavioral Analyst | 241 Norfolk St, Dorchester, MA 02124 | 2020-03-23 |
| 1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
| 1407413487 | Adrian Velasquez Md LLC | Internal Medicine | 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 | 2019-05-24 |
| 1164908794 | Genesis 365 Care LLC | Home Health Aide | 114 Fuller St # 1, Dorchester, MA 02124 | 2018-07-17 |
| 1821581422 | Prince Nwaford | Psychologist | 176 Harvard Street, 2, Boston, MA 02124 | 2018-06-08 |
| 1073026753 | Massachusetts Chiropractic Center LLC | Chiropractor | 879-881 Blue Hill Avenue, Dorchester, MA 02124 | 2017-11-16 |
| 1770096620 | Aly Tran | Behavior Technician | 232 Centre St, Dorchester, MA 02124 | 2017-11-14 |
| 1326564386 | Mildred R Gomez | Community Health Worker | 108 Norfolk St, Dorchester, MA 02124 | 2017-08-21 |
| 1871025585 | Dwight Dorcy | Assistant Behavior Analyst | 7 Samoset St # 3, Dorchester, MA 02124 | 2017-03-31 |
| 1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
| Find all providers in zip 02124 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| 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. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336689389 | Sabrina Duarte | Substance Abuse Rehabilitation Facility | 23 Page St, Dorchester, MA 02121-4013 | 2017-02-24 |
| 1396096376 | Hopewell House | Substance Abuse Rehabilitation Facility | 1107 Washington St, Dorchester, MA 02124-5523 | 2012-10-01 |
| 1902116387 | Hopefound | Substance Abuse Rehabilitation Facility | 77 N Point Dr, Suite 116, Dorchester, MA 02125-3235 | 2010-10-19 |
| 1467737288 | Boston Hamilton Recovery Home Inc. | Substance Abuse Rehabilitation Facility | 25 Mount Ida Rd, Dorchester, MA 02122-1709 | 2011-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874514 | Compass Recovery, LLC | Substance Abuse Rehabilitation Facility | 128 Meadow Rd, Longmeadow, MA 01106-3055 | 2020-09-07 |
| 1831708726 | Topsail Addiction Treatment, Inc. | Substance Abuse Rehabilitation Facility | 140 Haverhill St Ste 8, Andover, MA 01810-1504 | 2020-07-27 |
| 1700404464 | Aware Recovery Care of Massachusetts, LLC | Substance Abuse Rehabilitation Facility | 9 Damonmill Sq Ste 105, Concord, MA 01742-2858 | 2020-07-09 |
| 1679190748 | Baystate Recovery Services LLC | Substance Abuse Rehabilitation Facility | 950 Cummings Ctr Ste 106x, Beverly, MA 01915-6274 | 2020-07-06 |
| 1992331821 | Metanoia Recovery, LLC | Substance Abuse Rehabilitation Facility | 55 Concord St, North Reading, MA 01864-2640 | 2020-03-23 |
| 1205462124 | Rockland Recovery Treatment Centers, LLC | Substance Abuse Rehabilitation Facility | 884 Washington St Ste 100, Weymouth, MA 02189-1530 | 2020-03-23 |
| 1679055347 | The Coleman Institute of America, LLC | Substance Abuse Rehabilitation Facility | 30 Washington St Ste 300, Wellesley Hills, MA 02481-1935 | 2018-08-30 |
| 1992205207 | New England Aftercare Ministries, Inc. | Substance Abuse Rehabilitation Facility | 18 Summit St, Framingham, MA 01702-7363 | 2018-02-14 |
| 1316446297 | Hurley House, Inc. | Substance Abuse Rehabilitation Facility | 12 Lowell St, Waltham, MA 02453-5254 | 2018-02-07 |
| 1356865448 | Sober 4 Life Inc. | Substance Abuse Rehabilitation Facility | 244 County St, Attleboro, MA 02703-3501 | 2017-07-31 |
| Find all providers with the same taxonomy | ||||
| City | DORCHESTER |
| Zip Code | 02124 |
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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.