Commonwealth of Massachusetts
NPI 1598957391ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Hathorne, MA
Intermediate Care Facility, Intellectual Disabilities in Hathorne, Massachusetts, registered in NPPES in August 2007, part of Commonwealth of Massachusets. The authorized official on file is Dylan Lattimore, Deputy Commissioner Of Adminstratio.
Overview
| NPI | 1598957391 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Commonwealth of Massachusets |
| NPI issued | Aug 15, 2007 |
| Last updated in NPPES | Mar 19, 2026 |
| Certified by provider | Mar 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | — | — |
| Intermediate Care Facility, Mental Illness | 310500000X | — | — |
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 |
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