SPECTRUM ADULT DAY HEALTH – NPI #1073658225
Clinic/Center

SPECTRUM ADULT DAY HEALTH is an AHC clinic located in BEVERLY, MA. NPPES has assigned the NPI number 1073658225 to SPECTRUM ADULT DAY HEALTH on February 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SPECTRUM ADULT DAY HEALTH” is a dba name, the actual legal business name for this organization is NORTHEAST HOSPITAL CORPORATION. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

The NPI profile was previously updated about 12 years ago on Nov 12, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SPECTRUM ADULT DAY HEALTH below.

NPI Profile for
NORTHEAST HOSPITAL CORPORATION

NPI Number
1073658225
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHEAST HOSPITAL CORPORATION
Doing Business As (dba): SPECTRUM ADULT DAY HEALTH
Primary location
600 CUMMINGS CENTER
SUITE 176X
BEVERLY, MA 01915
Phone: (978) 921-5020 Fax: (978) 739-4627
Mailing address
85 HERRICK STREET
MEDICAL STAFF OFFICE
BEVERLY, MA 01915
Phone: (978) 922-3000 Fax: (978) 921-7048
Organization Subpart
No
Authorized Official
DENIS CONROY
CEO
Phone: (978) 922-3000
Updated
Identifiers

Identifiers for SPECTRUM ADULT DAY HEALTH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMA1902997
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.