Health and Education Services
NPI 1366612905ActiveOrganization· Intermediate Care Facility, Mental Illness· Haverhill, MA
Intermediate Care Facility, Mental Illness in Haverhill, Massachusetts, registered in NPPES in March 2008. The authorized official on file is Gwen E. Owen, LICSW, Geriatric Clinician.
Overview
| NPI | 1366612905 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 11, 2008 |
| Last updated in NPPES | Mar 11, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Mental Illness Primary | 310500000X | 113175 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|