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LATHAM CENTERS INC. NPI 1467768812


NPI Information

NPI: 1467768812
Provider Name: LATHAM CENTERS, INC.
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization

CLIA Number: 22D2203610

Address:
1646 ROUTE 6A
BREWSTER, MA
ZIP 02631
Phone: (508) 896-5776
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LATHAM CENTERS, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Brewster, MA. The provider is 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. LATHAM CENTERS, INC. NPI is 1467768812. The provider is registered as an organization entity type.

The provider's business location address is:

1646 ROUTE 6A
BREWSTER, MA
ZIP 02631-716
Phone: (508) 896-5776
Fax: (508) 896-6782

The provider's authorized official is Anne Mcmanus .
The authorized official title is Executive Director and has the following contact phone number (508) 896-5776.

The CLIA number assigned to this NPI record is 22D2203610 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2010 and was last updated on 11/20/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities1476466MASSACHUSETTSNo
2320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities1476467MASSACHUSETTSNo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities9012334MASSACHUSETTSNo
4322D00000XResidential Treatment Facility, Emotionally Disturbed Children9012336MASSACHUSETTSNo
5320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities1476468MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1LA 94288MEDICAIDRHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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