Healthcare Provider Details

I. General information

NPI: 1790609600
Provider Name (Legal Business Name): SASS RESIDENTIAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 CORBETT ST
FALL RIVER MA
02720-6627
US

IV. Provider business mailing address

321 CORBETT ST
FALL RIVER MA
02720-6627
US

V. Phone/Fax

Practice location:
  • Phone: 401-855-0734
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER MARIE REGO
Title or Position: EXECUTIVE DIRECTOR
Credential: LADC II
Phone: 401-855-0734