National Provider Identifier Database

COMMONWEALTH COMMUNITY RECOVERY DIVISION INC
Taxi

A land commercial vehicle used for the transporting of persons in non-emergency situations. The vehicle meets local, county or state regulations set forth by the jurisdictions where it is located.


Contact Information

COMMONWEALTH COMMUNITY RECOVERY DIVISION INC
79 THOMPSON ST
SPRINGFIELD, MA01109-3921
Phone: 888-680-4667
Fax: 888-726-8386
Website:
Specialty Taxonomy Code
* Taxi 344600000X

* Indicates primary specialty

NPI Profile & details for COMMONWEALTH COMMUNITY RECOVERY DIVISION INC

NPI Number 1558894261
Legal business name
LBN
COMMONWEALTH COMMUNITY RECOVERY DIVISION INC
Authorized official PAUL JONES - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/10/2017
Last updated 04/10/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • MA License #: S49769293
  • MA Medicaid: 23

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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