BASS RIVER, INC.
NPI 1487780805
Day Training, Developmentally Disabled Services in Salem, MA

Q: What is Bass River Day Activity Program, Inc's NPI number?

The NPI number for Bass River Day Activity Program, Inc is 1487780805. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Bass River, Inc..

Q: What is Bass River Day Activity Program, Inc's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Active since February 27, 2007CLIA 22D2244472 · Waiver

12 HANSON ST, SALEM, MA 01970(978) 741-8740(978) 741-2431 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bass River, Inc. NPPES

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

BASS RIVER, INC. (NPI 1487780805) is a healthcare organization registered as a day training, developmentally disabled services in Salem, Massachusetts and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through December 1, 2027 and lists Edward A Potvin, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1487780805

Entity TypeOrganization

Primary Taxonomy251C00000X

Legal Business NameBASS RIVER DAY ACTIVITY PROGRAM, INC

Location Address12 HANSON STSalem, MA 01970-1311

Mailing Address437 Essex StBeverly, MA 01915-1311 · (978) 927-5326 · Fax (978) 922-3109

Phone(978) 741-8740

Fax(978) 741-2431

Organization SubpartNo

Authorized OfficialEdward A PotvinExecutive Director · (978) 927-5326

Enumeration DateFebruary 27, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1487780805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies

Taxonomy Code251C00000X

License✔ Licensed in MA · 1319141

Definition

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.

12 HANSON ST, Salem, MA 01970

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Other Names 1

Doing Business AsBass River, Inc.

Other Identifiers 1

Medicaid1319141MA

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 22D2244472

Bass River Inc · Peabody, MA

Active · expires Dec 1, 2027

CLIA Number22D2244472

Laboratory TypeIntermediate Care Facility For Mentally Retarded

Certificate Effective DateDecember 2, 2025

Certificate Expiration DateDecember 1, 2027

Laboratory DirectorJackie R. Silva

Laboratory Phone(978) 927-5326

Laboratory LocationBass River Inc23R Andover Street, Peabody, MA 01960

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Bass River Day Activity Program, Inc's NPI number?

The NPI number for Bass River Day Activity Program, Inc is 1487780805. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Bass River, Inc..

Where is Bass River Day Activity Program, Inc located?

Bass River Day Activity Program, Inc is located at 12 Hanson St, Salem, MA 01970. The listed phone number is (978) 741-8740.

What is Bass River Day Activity Program, Inc's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Does Bass River Day Activity Program, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2244472) is associated with this NPI, valid through December 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bass River Day Activity Program, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.