DEPARTMENT OF DEVELOPMENTAL SERVICES (NPI# 1730307513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730307513 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF DEVELOPMENTAL SERVICES |
| Other Organization Name | TEMPLETON DEVELOPMENTAL CENTER |
| Practice Address |
212 Freight Shed Rd Templeton Dev Cntr Baldwinville MA 01436 |
| Mailing Address |
500 Harrison Ave Boston MA 02118-2439 |
| Practice Telephone | 9789392161 |
| Mailing Telephone | 6176247870 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2009-10-01 |
| Authorized Official Name | JEANETTE MAILLET (C F O) |
| Authorized Official Telephone | 6176247814 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 920185 | 05 |
| Other Name | Type Code |
|---|---|
| TEMPLETON DEVELOPMENTAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750504064 | Department of Developmental Services | Case Management | So Valley Cm, 79 Nothe St Ste 2, Southbridge, MA 01550 | 2007-04-11 |
| 1003039322 | Department of Developmental Services | Case Management | Worcester Cm, 40 Southbridge St #200, Worcester, MA 01608 | 2007-04-11 |
| 1609099910 | Department of Developmental Services | Case Management | No Central Cm, 435 Main St, Fitchburg, MA 01420 | 2007-04-11 |
| 1063635399 | Department of Developmental Services | Intermediate Care Facility, Mentally Retarded | Monson Dev Cntr, 175 State Ave, Palmer, MA 01069 | 2007-04-11 |
| 1659594976 | Department of Developmental Services | Intermediate Care Facility, Mentally Retarded | Glavin Regional Cntr, 214 Lake St, Shrewsbury, MA 01545 | 2007-04-11 |
| 1790908002 | Department of Developmental Services | Case Management | Holyoke - Chicopee Cm, 88 Front St 1st Fl, Holyoke, MA 01040 | 2007-04-11 |
| 1508089699 | Department of Developmental Services | Case Management | Berkshire Cm, 333 East St 5th Fl, Pittsfield, MA 01201 | 2007-04-10 |
| 1528281532 | Department of Developmental Services | Case Management | Springfield Cm, 436 Dwight St Ste 205, Springfield, MA 01103 | 2007-04-10 |
| 1730302829 | Department of Developmental Services | Case Management | Franklin - Hampshire Cm, 1 Roundhouse Plaza, Northampton, MA 01060 | 2007-04-10 |
| Street Address |
212 FREIGHT SHED RD TEMPLETON DEV CNTR |
| City | BALDWINVILLE |
| State | MA |
| Zip Code | 01436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770569493 | Ronald R Sargent | Physician Assistant | 212 Freight Shed Rd, Templeton Developmental Center, Baldwinville, MA 01436-1516 | 2005-12-15 |
| 1457302325 | Barbara Divito | Physician Assistant | 212 Freight Shed Rd, Templeton Developmental Center, Baldwinville, MA 01436-1516 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437651247 | Stacey Lynn Sparks | Counselor | 12 Fern Street, Baldwinville, MA 01436 | 2018-03-07 |
| 1164923421 | Janet Alice Johnson | Community Health Worker | 23 State Road, Baldwinville, MA 01436 | 2018-02-22 |
| 1194241513 | Samuel Andrew Sjostedt | Counselor | 18 Shaw Road, Baldwinville, MA 01436 | 2017-08-17 |
| 1508169830 | Trustees of Tufts University | Clinic/Center | 212 Freight Shed Road, Baldwinville, MA 01436 | 2010-12-08 |
| 1730498965 | Jessica Lyn Blanding | Counselor | 184 Freight Shed Rd, Baldwinville, MA 01436 | 2010-10-05 |
| 1437322740 | Hearthside Elderhomes, LLC | Assisted Living Facility | 676 Baldwinville Road, Baldwinville, MA 01436 | 2008-04-08 |
| 1952526691 | Synaptic Chiropractic Center | Chiropractor | 630 Baldwinville Rd., Baldwinville, MA 01436 | 2007-04-16 |
| 1477673689 | Todd G Mexico | Chiropractor | 630 Baldwinville Road., Baldwinville, MA 01436 | 2007-03-30 |
| 1942535653 | Kelly Clow | Registered Nurse | 570 Baldwinville Rd, Baldwinville, MA 01436 | 2009-10-14 |
| 1063988467 | Britany Jackson | Behavior Technician | 24 Main St Apt B, Baldwinville, MA 01436-1107 | 2018-10-23 |
| Find all providers in zip 01436 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881074896 | Michael Gregory Sullivan | Intermediate Care Facility, Mentally Retarded | 30 Hobomack Rd, Quincy, MA 02169-2508 | 2015-06-04 |
| 1063635399 | Department of Developmental Services | Intermediate Care Facility, Mentally Retarded | Monson Dev Cntr, 175 State Ave, Palmer, MA 01069 | 2007-04-11 |
| 1659594976 | Department of Developmental Services | Intermediate Care Facility, Mentally Retarded | Glavin Regional Cntr, 214 Lake St, Shrewsbury, MA 01545 | 2007-04-11 |
| 1134251366 | Commonwealth of Massachusetts-dmr | Intermediate Care Facility, Mentally Retarded | 131 Emerald Street, Wrentham, MA 02093 | 2007-03-12 |
| 1306977822 | Commonwealth of Mass - Dds | Intermediate Care Facility, Mentally Retarded | 200 Trapelo Road, Belmont, MA 02452-6302 | 2007-03-08 |
| 1477781359 | Plymouth Ma Snf LLC | Intermediate Care Facility, Mentally Retarded | 123 South Street, Plymouth, MA 02360 | 2009-06-30 |
| City | BALDWINVILLE |
| Zip Code | 01436 |
Please comment or provide details below to improve the information on DEPARTMENT OF DEVELOPMENTAL SERVICES.
| 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.