MIDDLESEX HUMAN SERVICE AGENCY, INC. – NPI #1700394962
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

MIDDLESEX HUMAN SERVICE AGENCY, INC. is a substance abuse rehabilitation facility located in BOSTON, MA. NPPES has assigned the NPI number 1700394962 to MIDDLESEX HUMAN SERVICE AGENCY, INC. on January 22, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 5 years ago on Sep 20, 2021. 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 MIDDLESEX HUMAN SERVICE AGENCY, INC. below.

NPI Profile for
MIDDLESEX HUMAN SERVICE AGENCY, INC.

NPI Number
1700394962
Enumeration Date

(more than 8 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
MIDDLESEX HUMAN SERVICE AGENCY, INC.
Primary location
65 GLEN RD
BOSTON, MA 02130-3340
Phone: (617) 524-4416 Fax: (617) 524-4450
2 Other location(s):
5 G St
South Boston, MA 02127-1408
Phone: (617) 268-7124
Fax: (617) 268-5572
12 Lowell St
Waltham, MA 02453-5254
Phone: (781) 899-2540
Mailing address
50 PROSPECT ST STE 3
WALTHAM, MA 02453-8509
Phone: (781) 894-6110 Fax: (781) 647-0412
Organization Subpart
No
Authorized Official
ROBERT MILLS
CHIEF EXECUTIVE OFFICER
Phone: (781) 894-6110
Updated
Certification Date
Sep 20, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)		 MA 0280

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.