Commonwealth Of Massachusets
Intermediate Care Facility, Intellectual Disabilities in Wrentham, Massachusetts
1134251366- Practice location
- 131 Emerald Street, Wrentham, MA 02093
- Phone
- 508-384-3114
- Fax
- 508-384-1619
- Last updated
- March 19, 2026
Commonwealth Of Massachusets is a healthcare organization based in Wrentham, MA. Commonwealth Of Massachusets practices in Wrentham, MA. The NPI Number for Commonwealth Of Massachusets is 1134251366 and holds a License No. Exempt (MA). The current practice location address for Commonwealth Of Massachusets is 131 Emerald Street, Wrentham, MA 02093 and can be reached out via phone at 508-384-3114 and via fax at 508-384-1619.
Provider Profile Details
- NPI Number
- 1134251366
- Provider Name
- Commonwealth Of Massachusets
- Provider Entity Type
- Organization
- Address
- 131 Emerald Street, Wrentham, MA 02093
- Phone Number
- 508-384-3114
- Fax Number
- 508-384-1619
- Primary Taxonomy
- Intermediate Care Facility, Intellectual Disabilities · 315P00000X
- Organization Subpart
- Yes
- Parent Organization
- Commonwealth Of Massachusets
- Authorized Official
- Dylan Lattimore · Deputy Commissioner For Administrat · 857-408-0675
- Other Names
- Wrentham Developmental Center (Doing Business As)
- Provider Enumeration Date
- March 12, 2007
- Last Update Date
- March 19, 2026
- Certification Date
- March 19, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 131 Emerald Street
Wrentham, MA 02093 - City
- Wrentham
- State
- Massachusetts
- Zip
- 02093
- Phone Number
- 508-384-3114
- Fax Number
- 508-384-1619
Provider Business Mailing Address Details
- Address
- 40 Broad Street
4TH Floor
Boston, MA 02109 - City
- Boston
- State
- MA
- Zip
- 02109
- Phone Number
- 617-727-5608
- Fax Number
- 617-624-7577
License Information
- License Number
- Exempt
- License State
- MA
- Taxonomy
- Intermediate Care Facility, Intellectual Disabilities · 315P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Commonwealth Of Massachusets?
The NPI number of Commonwealth Of Massachusets is 1134251366. It was assigned on March 12, 2007 and is currently active in the NPPES registry.
What is the specialty of Commonwealth Of Massachusets?
Commonwealth Of Massachusets is registered under the primary taxonomy Intermediate Care Facility, Intellectual Disabilities (code 315P00000X), licensed in MA under license number Exempt.
Where does Commonwealth Of Massachusets practice?
The practice location is 131 Emerald Street, Wrentham, MA 02093. The office can be reached at 508-384-3114 (phone) or 508-384-1619 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134251366 directly on the NPPES registry website.