Ummi'S House

LBN: Dimock Community Services Corp
Ummi'S House is an health care organization with primary practice located at 10 Fort Ave , Roxbury MA 02119-1433. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Dimock Community Services Corp can be contacted via phone (617) 442-6778, or through Whitham, David via phone (617) 442-8800.

Contact Information

Primary practice address
10 Fort Ave Roxbury MA 02119-1433
Phone: (617) 442-6778
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Whitham, David
Phone: (617) 442-8800

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X Massachusetts

Profile Details

NPI number 1396890240
LBN Legal business name Dimock Community Services Corp
DBA Doing business as Ummi'S House
Authorized official Whitham, David
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396890240 NPPES
Massachusetts MEDICAID 1887980

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