BASS RIVER DAY ACTIVITY PROGRAM, INC (NPI# 1487780805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487780805 |
Entity Type | Organization |
Organization Name | BASS RIVER DAY ACTIVITY PROGRAM, INC |
Other Organization Name | BASS RIVER, INC. |
Practice Address |
12 Hanson St Salem MA 01970-1311 |
Mailing Address |
437 Essex St Beverly MA 01915-1311 |
Practice Telephone | 9787418740 |
Practice Fax Number | 9787412431 |
Mailing Telephone | 9789275326 |
Mailing Fax Number | 9789223109 |
Enumeration Date | 2007-02-27 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. EDWARD A POTVIN (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9789275326 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | 1319141 | MA | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 1319141 | 05 |
Other Name | Type Code |
---|---|
Bass River, Inc. | Doing Business As Name - Organization |
Street Address |
12 HANSON ST |
City | SALEM |
State | MA |
Zip Code | 01970-1311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
Find all providers in zip 01970 |
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 |
---|---|---|---|---|
1720457229 | The Arc of Salem County | Day Training, Developmentally Disabled Services | 150 Route 45, Salem, NJ 08079-2098 | 2015-09-15 |
1508060336 | Enrichment Services of Dent County, Inc | Day Training, Developmentally Disabled Services | 1900 S Main, Salem, MO 65560-0109 | 2007-06-14 |
1942326723 | Enhancing Life Styles, Inc. | Day Training, Developmentally Disabled Services | 448 E 620 S, Salem, UT 84653-9572 | 2007-03-22 |
1942334263 | Cumberland River Homes, Inc. | Day Training, Developmentally Disabled Services | 111 N Hayden Ave, Salem, KY 42078-8073 | 2007-03-16 |
1679612246 | Enrichment Services of Dent County, Inc. | Day Training, Developmentally Disabled Services | 1900 S. Main Street, Salem, MO 65560-0109 | 2007-02-06 |
1528147782 | Marion County | Day Training, Developmentally Disabled Services | 3180 Center, Salem, OR 97301-4532 | 2006-11-06 |
1578574570 | Kids Who Count | Day Training, Developmentally Disabled Services | 345 N Sr 198, Salem, UT 84653 | 2006-08-11 |
1891752879 | Innovative Community Solutions, Inc. | Day Training, Developmentally Disabled Services | 799 Union St, Salem, VA 24153-5122 | 2006-04-26 |
1962892539 | Health Consultants Plus, Inc. | Day Training, Developmentally Disabled Services | 195 W Main St, Salem, WV 26426-1229 | 2015-02-03 |
1275701088 | Cumberland River Homes, Inc | Day Training, Developmentally Disabled Services | 111 N Hayden Ave, Salem, KY 42078-8073 | 2008-02-14 |
Find all providers in SALEM |
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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.