LATHAM CENTERS, INC.
NPI 1467768812
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Brewster, MA

Active since August 24, 2010CLIA 22D2203610 · Waiver
1646 MAIN ST, BREWSTER, MA 02631(508) 896-5776(508) 896-6782 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Latham Centers, Inc. NPPES

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

LATHAM CENTERS, INC. (NPI 1467768812) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Brewster, Massachusetts and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through December 3, 2026 and lists Melanie Mimmo, Nurse Manager, as its authorized official.

NPPES Registry Identity

NPI1467768812
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameLATHAM CENTERS, INC.
Location Address1646 MAIN STBrewster, MA 02631-1716
Mailing Address1646 Main StBrewster, MA 02631-1716 · (508) 896-5776 · Fax (508) 896-6782
Fax(508) 896-6782
Organization SubpartNo
Authorized OfficialMelanie MimmoNurse Manager · (508) 896-5776
Enumeration DateAugust 24, 2010
Last NPPES UpdateAugust 8, 2024
NPPES CertifiedAugust 8, 2024
NPI 1467768812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Licenses Licensed in MA · 1476468 Licensed in MA · 1476466 Licensed in MA · 1476467
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Also ListedResidential Treatment Facility, Emotionally Disturbed ChildrenTaxonomy 322D00000X · License 9012336 (MA)
1646 MAIN ST, Brewster, MA 02631

Other Identifiers 1

MedicaidLA 94288RI

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2203610

Latham Centers, Inc · Brewster, MA
Active · expires Dec 3, 2026
CLIA Number22D2203610
Laboratory TypeSchool/Student Health Service
Certificate Effective DateDecember 4, 2024
Certificate Expiration DateDecember 3, 2026
Laboratory DirectorMs. Bonnie J. White
Laboratory Phone(508) 896-5776
Laboratory LocationLatham Centers, Inc1646 Main St, Brewster, MA 02631
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1646 MAIN ST
BREWSTER, MA 02631

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 Latham Centers, Inc.'s NPI number?

The NPI number for Latham Centers, Inc. is 1467768812. It was assigned to this organization in the NPPES registry on August 24, 2010.

Where is Latham Centers, Inc. located?

Latham Centers, Inc. is located at 1646 Main St, Brewster, MA 02631. The listed phone number is (508) 896-5776.

What is Latham Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Latham Centers, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2203610) is associated with this NPI, valid through December 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Latham Centers, Inc. was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.