NORTHEAST ARC, INC.
NPI 1912030917
Community/Behavioral Health in Danvers, MA
- Organization
- Community/Behavioral Health
- CLIA Number: 22D1053975
- CLIA Cert. Type: Other - GROUP HOME
- CLIA Exp. Date: 05-08-2026
About NORTHEAST ARC, INC.
This page provides the complete NPI Profile along with additional information for Northeast Arc, Inc., a provider established in Danvers, Massachusetts operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1912030917 assigned on March 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's former legal business name is North Shore Assoc For Retarded Citizens Inc. The authorized official of this NPI record is Mr. Gary Penniman (Cfo)
- NPI
- 1912030917 Verify this NPI
- Provider Legal Name
- NORTHEAST ARC, INC.
- Other Organization Name
- NORTH SHORE ASSOC FOR RETARDED CITIZENS INC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 64 HOLTEN STREET DANVERS, MA 01923
- Location Phone
- (978) 762-4878
- Location Fax
- (978) 777-6149
- Mailing Address
- 64 HOLTEN STREET DANVERS, MA 01923
- Mailing Phone
- (978) 762-4878
- Mailing Fax
- (978) 777-6149
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-13-2007
- Last Update Date
- 03-19-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1311263 | OTHER (01) | MA | CORNERSTONE DAY HABILITAT |
| 1906577 | OTHER (01) | MA | ADULT FOSTER CARE |
| 1801686 | OTHER (01) | MA | CAPE ANN EARLY INTERVENTI |
| 1311522 | OTHER (01) | MA | MERRIDIAN DAY HABILITATIO |
| 1990250 | OTHER (01) | MA | FI ADMINISTRATION |
| 1802984 | OTHER (01) | MA | FAMILY SUPPORT EARLY INTE |
| 1999826 | OTHER (01) | MA | PCA PAYROLL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 22D1053975
- Facility Type
- Other - GROUP HOME
- Certificate Effective Date
- May 09, 2024
- Certificate Expiration Date
- May 08, 2026
- Laboratory Director
- JULIE A. LUFKIN-PURTZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Northeast Arc, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for NORTHEAST ARC, INC.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912030917, enumerated as an "organization" on March 13, 2007.
The provider is located at 64 HOLTEN STREET DANVERS, MA 01923 and the phone number is (978) 762-4878.
Community/Behavioral Health with taxonomy code 251S00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
