EDWINA MARTIN HOUSE
NPI 1902181654
Substance Abuse Rehabilitation Facility in Brockton, MA

NPI Status: Active since October 13, 2011

Contact Information

678 N MAIN ST
BROCKTON, MA
ZIP 02301
Phone: (508) 583-0493
Fax: (508) 583-4317

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  • Organization
  • Substance Abuse Rehabilitation Facility

About EDWINA MARTIN HOUSE

This page provides the complete NPI Profile along with additional information for Edwina Martin House, a provider established in Brockton, Massachusetts operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1902181654 assigned on October 2011. The practitioner's primary taxonomy code is 324500000X with license number 0201 (MA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's other name is Edwina Martin House. The authorized official of this NPI record is Judith M Mcdonough Ladc-1, M.ed (Executive Director)

NPI
1902181654
Provider Legal Name
EMH RECOVERY, INC.
Other Organization Name
EDWINA MARTIN HOUSE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
678 N MAIN ST BROCKTON, MA 02301
Location Phone
(508) 583-0493
Location Fax
(508) 583-4317
Mailing Address
678 N MAIN ST BROCKTON, MA 02301
Mailing Phone
(508) 583-0493
Mailing Fax
(508) 583-4317
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-13-2011
Last Update Date
10-13-2011
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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.
0201
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JUDITH M MCDONOUGH LADC-1, M.ED

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(508) 583-0493

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0201MEDICAID (05)MA 

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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.
1902181654
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2902282610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 2 + 8 + 2 + 6 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1902181654 is valid because the calculated check digit 4 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 1902181654, enumerated in the NPI registry as an "organization" on October 13, 2011

The provider is located at 678 N Main St Brockton, Ma 02301 and the phone number is (508) 583-0493

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 13, 2011. 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.