1. Home
  2. Directory
  3. Massachusetts
  4. Millbury
  5. Community Based Residential Treatment Facility Mental Illness
  6. NPI Profile

EVOLVE RECOVERY CENTER AT MILLBURY LLC
NPI 1407523244
Community Based Residential Treatment Facility, Mental Illness in Millbury, MA

Active since August 29, 2021
29 MAIN ST STE 300, MILLBURY, MA 01527(508) 876-3223(508) 876-3224 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 11, 2023, Oct 5, 2023, Aug 29, 2021 (3 updates tracked since 2021).

About Evolve Recovery Center At Millbury Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVOLVE RECOVERY CENTER AT MILLBURY LLC (NPI 1407523244) is a healthcare organization registered as a community based residential treatment facility, mental illness in Millbury, Massachusetts and active in the NPI registry since August 2021. The organization lists Joseph Chelales, Vp Of Compliance, as its authorized official.

NPPES Registry Identity

NPI1407523244
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameEVOLVE RECOVERY CENTER AT MILLBURY LLC
Location Address29 MAIN ST STE 300Millbury, MA 01527-2005
Mailing AddressPo Box 27035Newark, NJ 07101-6735 · (508) 876-3223 · Fax (508) 876-3224
Phone(508) 876-3223
Fax(508) 876-3224
Organization SubpartNo
Authorized OfficialJoseph ChelalesVp Of Compliance · (646) 285-4035
Enumeration DateAugust 29, 2021
Last NPPES UpdateOctober 11, 20233 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1407523244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
29 MAIN ST STE 300, Millbury, MA 01527
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evolve Recovery Center At Millbury Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Evolve Recovery Center At Millbury LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Ann Kamanga, PMHNP-BC
Nurse Practitioner
NPI 1659134369
12 QUEEN ST
Worcester, MA 01610
(774) 386-5056
✔ PECOS✔ Accepts Medicare5.3 mi
Meagan Gaine, LCSW
Clinical Social Worker
NPI 1962551929
190 LENOX ST
Norwood, MA 02062
(781) 769-8670
✔ PECOS✔ Accepts Medicare29 mi
Jisselle Assad, APRN, FNP, PMHNP
Nurse Practitioner
NPI 1679145452
645 BELMONT AVE
Springfield, MA 01108
(413) 435-0759
✔ PECOS41 mi
Susana Lugo, M.D.
Psychiatry
NPI 1609946763
29 NORTHWEST BLVD
Nashua, NH 03063
(603) 881-9311
✔ PECOS✔ Accepts Medicare43 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evolve Recovery Center At Millbury LLC's NPI number?

The NPI number for Evolve Recovery Center At Millbury LLC is 1407523244. It was assigned to this organization in the NPPES registry on August 29, 2021.

Where is Evolve Recovery Center At Millbury LLC located?

Evolve Recovery Center At Millbury LLC is located at 29 Main St Ste 300, Millbury, MA 01527. The listed phone number is (508) 876-3223.

What is Evolve Recovery Center At Millbury LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Is Evolve Recovery Center At Millbury LLC enrolled in Medicare?

Yes. Evolve Recovery Center At Millbury LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evolve Recovery Center At Millbury LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Evolve Recovery Center At Millbury LLC, in Clinical Social Worker, Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Evolve Recovery Center At Millbury LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Evolve Recovery Center At Millbury LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evolve Recovery Center At Millbury LLC was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.