MIDDLESEX HUMAN SERVICE AGENCY, INC.
NPI 1700394962
Substance Abuse Rehabilitation Facility in Boston, MA
NPI Status: Active since January 22, 2018
Contact Information
65 GLEN RD
BOSTON, MA
ZIP 02130
Phone: (617) 524-4416
Fax: (617) 524-4450
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 22D2209159
- CLIA Cert. Type: Other - CONGREGATE CARE
- CLIA Exp. Date: 01-11-2027
About MIDDLESEX HUMAN SERVICE AGENCY, INC.
This page provides the complete NPI Profile along with additional information for Middlesex Human Service Agency, Inc., a provider established in Boston, Massachusetts operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1700394962 assigned on January 2018. The practitioner's primary taxonomy code is 324500000X with license number 0280 (MA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. Robert Mills Ladc I, Ncac Ii, Sap (Chief Executive Officer)
- NPI
- 1700394962
- Provider Name
- MIDDLESEX HUMAN SERVICE AGENCY, INC.
- Entity Type
- Organization
- Location Address
- 65 GLEN RD BOSTON, MA 02130
- Location Phone
- (617) 524-4416
- Location Fax
- (617) 524-4450
- Mailing Address
- 50 PROSPECT ST STE 3 WALTHAM, MA 02453
- Mailing Phone
- (781) 894-6110
- Mailing Fax
- (617) 524-4450
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-22-2018
- Last Update Date
- 09-20-2021
- Code Navigator
Location Map
Secondary Locations
- 5 G St
South Boston, MA 02127
(617) 268-7124 - 12 Lowell St
Waltham, MA 02453
(781) 899-2540
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- 0280
- License State
- MA
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 22D2209159
- Facility Type
- Other - CONGREGATE CARE
- Certificate Effective Date
- January 12, 2025
- Certificate Expiration Date
- January 11, 2027
- Laboratory Director
- ROBERT MILLS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Middlesex Human Service Agency, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MIDDLESEX HUMAN SERVICE AGENCY, INC.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 3 | 9 | 4 | 9 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 6 | 9 | 8 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 6 + 9 + 8 + 9 + 1 + 2 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1700394962 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700394962, enumerated in the NPI registry as an "organization" on January 22, 2018
The provider is located at 65 Glen Rd Boston, Ma 02130 and the phone number is (617) 524-4416
This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X
The provider's CLIA number is 22D2209159 for a "other - congregate care" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 22, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.