BAY COVE HUMAN SERVICES, INC. (NPI# 1629528492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629528492 |
| Entity Type | Organization |
| Organization Name | BAY COVE HUMAN SERVICES, INC. |
| Other Organization Name | METHADONE TREATMENT CENTER |
| Practice Address |
66 Canal St Boston MA 02114-2002 |
| Practice Telephone | 6173713062 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |
| Authorized Official Name | MRS. KERRY J OLLEN (CFO, SVP FINANCE) |
| Authorized Official Telephone | 6173713062 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
0635 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110026203B | 05 |
| Other Name | Type Code |
|---|---|
| Methadone Treatment Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033293881 | Bay Cove Human Services, Inc. | Clinic/Center | 1500 Dorchester Ave., Dorchester, MA 02122-1327 | 2006-10-25 |
| 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 |
66 CANAL ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306993928 | Mark S Abelman | Social Worker | 66 Canal St, Boston, MA 02114-2002 | 2007-01-04 |
| 1659919488 | Genevieve Marie Minori | Case Manager/Care Coordinator | 66 Canal St, Boston, MA 02114-2002 | 2019-12-11 |
| 1215589775 | Barbara Ellen Burns | Case Manager/Care Coordinator | 66 Canal St, Boston, MA 02114-2002 | 2019-07-15 |
| 1437719200 | Bridget Hager | Counselor | 66 Canal St, Boston, MA 02114-2002 | 2019-06-14 |
| 1538628342 | Henrietta Imade Idumwonyi | Registered Nurse | 66 Canal St, Boston, MA 02114-2002 | 2019-03-19 |
| 1215404322 | Christina Haggerty | Social Worker | 66 Canal St, Boston, MA 02114-2002 | 2018-10-26 |
| 1770067050 | Ruth Harel Garvey | Social Worker | 66 Canal St, Boston, MA 02114-2002 | 2018-09-21 |
| 1457839276 | Matthew Steven Bronheim | Counselor | 66 Canal St, Boston, MA 02114-2002 | 2018-08-02 |
| 1619469855 | Jessica Visconti | Counselor | 66 Canal St, Boston, MA 02114-2002 | 2018-06-04 |
| 1154822856 | Ashlee Steed | Case Manager/Care Coordinator | 66 Canal St, Boston, MA 02114-2002 | 2018-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
| 1366980302 | Kristin Farrell Wason | Clinic/Center | 725 Albany St, General Internal Medicine, Boston, MA 02118-2526 | 2017-02-10 |
| 1346329463 | Boston Alcohol and Substance Abuse Program | Clinic/Center | 30 Winter St, 3rd Floor, Boston, MA 02108-4720 | 2006-11-02 |
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| 1750940359 | Recovery Grads, LLC | Clinic/Center | 200 Boston Ave Ste 1925, Medford, MA 02155-4243 | 2019-06-07 |
| 1386200327 | Addiction Campuses of Massachusetts | Clinic/Center | 2 South St Ste 370, Pittsfield, MA 01201-6372 | 2019-05-15 |
| 1215447297 | Treatment Partners of Massachusetts | Clinic/Center | 760 Main St Unit 7r, Hyannis, MA 02601-4366 | 2017-10-04 |
| 1831547199 | Northeast Addictions Treatment Center | Clinic/Center | 604 Washington Street, Quincy, MA 02169-7211 | 2016-05-27 |
| 1912390345 | Beacon Addiction Advocacy | Clinic/Center | 45 Strathmore Rd, Brighton, MA 02135-7914 | 2015-03-10 |
| 1679913990 | Lowell House Soap Program | Clinic/Center | 555 E Merrimack St, Lowell, MA 01852-1448 | 2013-07-01 |
| 1184759433 | Genesis Counseling Services, Inc. | Clinic/Center | 24 Union Ave Ste 11, Framingham, MA 01702-8287 | 2007-02-23 |
| Find all providers with the same taxonomy | ||||
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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.