CARDINAL CUSHING CENTERS, INC. (NPI# 1083092274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083092274 |
| Entity Type | Organization |
| Organization Name | CARDINAL CUSHING CENTERS, INC. |
| Other Organization Name | LIFE OPPORTUNITIES UNLIMITED - SOUTH |
| Practice Address |
291 Rockland St Hanover MA 02339-2385 |
| Mailing Address |
405 Washington St Hanover MA 02339-2343 |
| Practice Telephone | 7818291215 |
| Practice Fax Number | 7818264421 |
| Mailing Telephone | 7818291215 |
| Mailing Fax Number | 7818264421 |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |
| Authorized Official Name | MR. SIGMUND ROBERT KOZARYN (VICE PRESIDENT/CFO) |
| Authorized Official Telephone | 7818291215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | TN66483 | MA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1093839896 | 05 | |
| MA | 1750583902 | 05 | |
| MA | 1861765307 | 05 | |
| MA | 1699077404 | 05 |
| Other Name | Type Code |
|---|---|
| Life Opportunities Unlimited - South | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093839896 | Cardinal Cushing Centers, Inc. | Community/Behavioral Health | 405 Washington St, Hanover, MA 02339-2343 | 2007-03-19 |
| 1861765307 | Cardinal Cushing Centers, Inc. | Foster Care Agency | 405 Washington St, Hanover, MA 02339-2343 | 2012-02-14 |
| 1699077404 | Cardinal Cushing Centers, Inc. | Community/Behavioral Health | 405 Washington St, Hanover, MA 02339-2343 | 2010-11-30 |
| 1750583902 | Cardinal Cushing Centers, Inc. | Day Training, Developmentally Disabled Services | 405 Washington St, Hanover, MA 02339-2343 | 2007-06-01 |
| Street Address |
291 ROCKLAND ST |
| City | HANOVER |
| State | MA |
| Zip Code | 02339-2385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477916500 | Michelle Benvie | Dietitian, Registered | 228 Columbia Rd, D3, Hanover, MA 02339 | 2016-04-05 |
| 1942577242 | Dalissa Rubi Kelly | Pharmacist | 1167 Washington St., T-2532, Hanover, MA 02339 | 2011-11-30 |
| 1124306220 | Cynthia Kay Wisted | Physical Therapist | 645 Washington St, Hanover, MA 02339 | 2011-07-25 |
| 1033405121 | Micaela Joy Lacasse | Pharmacist | 1167 Washington Street, T-2532, Hanover, MA 02339 | 2011-06-27 |
| 1578862272 | Life Enhancement Psychotherapy LLC | Social Worker | 427 Columbia Rd Ste 108, Hanover, MA 02339 | 2011-03-21 |
| 1396067427 | Leslie Anne Powers | Marriage & Family Therapist | 51 Mill Street, Suite 8, Hanover, MA 02339 | 2010-02-16 |
| 1871824912 | Mary Teresa Egan | Acupuncturist | 222 Webster Street, Hanover, MA 02339 | 2010-01-28 |
| 1669604393 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 1167 Washington St, Hanover, MA 02339 | 2009-08-13 |
| 1720248404 | Louis J Vanrenen | Acupuncturist | American Acupuncture, 171 Rockland Street, Hanover, MA 02339 | 2008-06-16 |
| 1629245204 | Jeanne M Christianson | Acupuncturist | Harmony Wellness Center, 51 Mill Street #8, Hanover, MA 02339 | 2008-05-13 |
| Find all providers in zip 02339 | ||||
| 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 |
|---|---|---|---|---|
| 1750583902 | Cardinal Cushing Centers, Inc. | Day Training, Developmentally Disabled Services | 405 Washington St, Hanover, MA 02339-2343 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 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 |
| 1245649151 | Nupath Inc. | Day Training, Developmentally Disabled Services | 7 Lyberty Way, Westford, MA 01886-3617 | 2014-08-05 |
| 1952710865 | Nupath Inc | Day Training, Developmentally Disabled Services | 300 W Cummings Park Ste 354, Woburn, MA 01801-6335 | 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.