Healthcare Provider Details

I. General information

NPI: 1336471820
Provider Name (Legal Business Name): FIDELITY HOUSE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2010
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PARKER ST
LAWRENCE MA
01843-1540
US

IV. Provider business mailing address

1 PARKER ST
LAWRENCE MA
01843-1540
US

V. Phone/Fax

Practice location:
  • Phone: 978-685-9471
  • Fax: 978-974-9415
Mailing address:
  • Phone: 978-685-9471
  • Fax: 978-974-9415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. YVONNE M ALLARD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 978-685-9471