Middlesex Human Service Agency, INC.
Substance Abuse Rehabilitation Facility in Boston, Massachusetts
1700394962- Practice location
- 65 Glen RD, Boston, MA 02130-3340
- Phone
- 617-524-4416
- Fax
- 617-524-4450
- Last updated
- September 20, 2021
Middlesex Human Service Agency, INC. is a healthcare organization based in Boston, MA. Middlesex Human Service Agency, INC. practices in Boston, MA. The NPI Number for Middlesex Human Service Agency, INC. is 1700394962 and holds a License No. 0280 (MA). The current practice location address for Middlesex Human Service Agency, INC. is 65 Glen RD, Boston, MA 02130-3340 and can be reached out via phone at 617-524-4416 and via fax at 617-524-4450.
Provider Profile Details
- NPI Number
- 1700394962
- Provider Name
- Middlesex Human Service Agency, INC.
- Provider Entity Type
- Organization
- Address
- 65 Glen RD, Boston, MA 02130-3340
- Phone Number
- 617-524-4416
- Fax Number
- 617-524-4450
- Primary Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X
- Organization Subpart
- No
- Authorized Official
- Mr. Robert Mills, LADC I, NCAC II, SAP · Chief Executive Officer · 781-894-6110
- Provider Enumeration Date
- January 22, 2018
- Last Update Date
- September 20, 2021
- Certification Date
- September 20, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 65 Glen RD
Boston, MA 02130-3340 - City
- Boston
- State
- Massachusetts
- Zip
- 02130-3340
- Phone Number
- 617-524-4416
- Fax Number
- 617-524-4450
Provider Business Mailing Address Details
- Address
- 50 Prospect St Ste 3
Waltham, MA 02453-8509 - City
- Waltham
- State
- MA
- Zip
- 02453-8509
- Phone Number
- 781-894-6110
- Fax Number
- 781-647-0412
License Information
- License Number
- 0280
- License State
- MA
- Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X · 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 Middlesex Human Service Agency, INC.?
The NPI number of Middlesex Human Service Agency, INC. is 1700394962. It was assigned on January 22, 2018 and is currently active in the NPPES registry.
What is the specialty of Middlesex Human Service Agency, INC.?
Middlesex Human Service Agency, INC. is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X), licensed in MA under license number 0280.
Where does Middlesex Human Service Agency, INC. practice?
The practice location is 65 Glen RD, Boston, MA 02130-3340. The office can be reached at 617-524-4416 (phone) or 617-524-4450 (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 1700394962 directly on the NPPES registry website.