HARBOR HEALTH SERVICES, INC (NPI# 1750821864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750821864 |
| Entity Type | Organization |
| Organization Name | HARBOR HEALTH SERVICES, INC |
| Other Organization Name | HARBOR HEALTH ELDER SERVICE PLAN BROCKTON |
| Practice Address |
479 Torrey St Brockton MA 02301-4617 |
| Mailing Address |
1135 Morton St Mattapan MA 02126-2834 |
| Practice Telephone | 6175332400 |
| Practice Fax Number | 6175332401 |
| Mailing Telephone | 6175332400 |
| Mailing Fax Number | 6175332401 |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | MS. KATHRYN C BURNS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6175332400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Harbor health Elder Service Plan Brockton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881715332 | Harbor Health Services, Inc | Clinic/Center | 516 Route 134 Ste 12, South Dennis, MA 02660-3430 | 2007-04-03 |
| 1225064264 | Harbor Health Services, Inc | Clinic/Center | 1135 Morton Street, Mattapan, MA 02126-2834 | 2006-06-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HARBOR HEALTH SERVICES, INC. | 1135 Morton St, Mattapan, MA 02126-2834 |
| Connecticut Business Registrations | HARBOR HEALTH SERVICES, INC. | 14 Sycamore Way, Branford, CT 06405 |
| Street Address |
479 TORREY ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-4617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568830891 | Macayla Landi | Pharmacist | 479 Torrey St, Brockton, MA 02301 | 2015-09-03 |
| 1871070755 | Christine Armour | Social Worker | 479 Torrey St, Brockton, MA 02301-4617 | 2018-07-24 |
| 1043732381 | Natacha Antoine Bernadeau | Registered Nurse | 479 Torrey St, Brockton, MA 02301-4617 | 2017-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639718596 | Vitra Adult Day Health I, LLC | Clinic/Center | 10 N Pearl St, Brockton, MA 02301-1708 | 2019-12-24 |
| 1518487693 | Adult Day Health, Inc. | Clinic/Center | 55 City Hall Plz Ste 2, Brockton, MA 02301-4341 | 2017-06-21 |
| 1588011837 | Adult Day Health, Inc. | Clinic/Center | 583 Centre St, Brockton, MA 02302-3326 | 2016-05-17 |
| 1326429820 | Brockton Adult Medical Day Care Center II, Inc | Clinic/Center | 55 City Hall Plz, Brockton, MA 02301-4341 | 2015-06-11 |
| 1114195757 | Brockton Adult Day Care, LLC | Clinic/Center | 764 N Main St, Brockton, MA 02301-2443 | 2008-02-18 |
| 1639294010 | Brockton Adult Medical Day Care Center, Inc | Clinic/Center | 25 Christy Dr, Brockton, MA 02301-1813 | 2007-03-21 |
| 1447770524 | Adult Day Health, Inc. | Clinic/Center | 25 Christy Dr, Brockton, MA 02301-1813 | 2017-06-21 |
| 1205237237 | Adult Day Health, Inc. | Clinic/Center | 764 N Main St, Brockton, MA 02301-2443 | 2014-09-09 |
| 1649612003 | South Shore Adult Day Health Center LLC | Clinic/Center | 189 Belmont St, Brockton, MA 02301-5159 | 2013-07-25 |
| 1407143860 | Caring Angels Adult Day Health and Educational Center LLC. | Clinic/Center | 1 Center St, First Floor, Brockton, MA 02301-4095 | 2011-07-06 |
| Find all providers in BROCKTON | ||||
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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.