Healthcare Provider Details

I. General information

NPI: 1073848370
Provider Name (Legal Business Name): THE ARC OF GREATER HAVERHILL-NEWBURYPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2009
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 WINGATE ST STE 301
HAVERHILL MA
01832-5759
US

IV. Provider business mailing address

57 WINGATE ST STE 301
HAVERHILL MA
01832-5759
US

V. Phone/Fax

Practice location:
  • Phone: 978-373-0552
  • Fax: 978-373-0557
Mailing address:
  • Phone: 978-373-0552
  • Fax: 978-373-0557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. LUIS M BACHMAN
Title or Position: EX. DIRECTOR
Credential:
Phone: 978-373-0552