Provider Demographics
NPI:1679561732
Name:NEW ENGLAND HOMES FOR THE DEAF
Entity Type:Organization
Organization Name:NEW ENGLAND HOMES FOR THE DEAF
Other - Org Name:NEW ENGLAND HOME FOR THE DEAF
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:IKOMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-774-0445
Mailing Address - Street 1:154 WATER ST
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-4103
Mailing Address - Country:US
Mailing Address - Phone:978-774-0445
Mailing Address - Fax:978-774-0271
Practice Address - Street 1:154 WATER ST
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-4103
Practice Address - Country:US
Practice Address - Phone:978-774-0445
Practice Address - Fax:978-774-0271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-12
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAOJIL311Z00000X, 313M00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0928411Medicaid
MA0928411Medicare UPIN
MA0928411Medicaid