Provider Demographics
NPI:1679570113
Name:NORTHEAST ARC INC
Entity Type:Organization
Organization Name:NORTHEAST ARC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMONS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:978-624-2408
Mailing Address - Street 1:89 NEWBURY STREET,
Mailing Address - Street 2:SUITE 202,
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923
Mailing Address - Country:US
Mailing Address - Phone:978-646-5200
Mailing Address - Fax:978-560-1402
Practice Address - Street 1:89 NEWBURY STREET,
Practice Address - Street 2:SUITE 202,
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923
Practice Address - Country:US
Practice Address - Phone:978-646-5200
Practice Address - Fax:978-560-1402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-30
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110024513AMedicaid
MA0000120474OtherBC/BS OF MA
MA003006819OtherUNITED HEALTH CARE
MA694788OtherTUFTS HEALTH PLAN
MA95297101OtherNETWORK HEALTH
MA110026357RMedicaid
MA1983850OtherCIGNA
MAA4447157OtherUNITED HEALTH CARE - OXFORD
MA106504OtherBMC HEALTHNET PLAN
MA00019233OtherNHP
MA7823597OtherAETNA
MAAA47084OtherHPHC