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NPI Code Detail

MEDICARE: BAY COVE HUMAN SERVICES, INC

MEDICARE: BAY COVE HUMAN SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100000000416OTHERMABMC HEALTHNET
2042418575OTHERMAGUARDIAN
32060689OTHERMAETNA US HEALTH CARE
4796212OTHERMANETWORK HEALTH
50035OTHERMABCBS
6718549OTHERMATUFFS
70008279OTHERMANHP
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9616020OTHERMAHARVARD PILGRAM

General Provider Information

NPI Number : 1649317595
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAY COVE HUMAN SERVICES, INC
Provider Business Mailing Address
First Line : 105 VICTORY RD
Second Line :
City : DORCHESTER
State : MA
Zip : 02122-3518
Country : US
Telephone Number : 617-371-3010
Fax Number : 617-371-3044
Provider Business Practice Location Address
First Line : 105 VICTORY RD
Second Line :
City : DORCHESTER
State : MA
Zip : 02122-3518
Country : US
Telephone Number : 617-371-3010
Fax Number : 617-371-3044
Authorized Official
Title or Position : COO & SVP
Name : CARLEY LUBARSKY
Credential :
Telephone Number : 617-371-3000
Provider Enumeration Date : 01/31/2007
Last Update Date : 01/13/2026

Similar Medicare Providers

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Practice Location Address:
105 VICTORY RD
DORCHESTER, MA
02122-3518
Practice Phone: 617-371-3010
Practice Fax: 617-371-3044
1790823938 — MS. SARAH RUTH THOENSEN
Practice Location Address:
105 VICTORY RD
DORCHESTER, MA
02122-3518
Practice Phone: 617-371-3010
Practice Fax:
1467590612 — MS. TRACY MICHELLE WALTERS
Practice Location Address:
105 VICTORY RD
DORCHESTER, MA
02122-3518
Practice Phone: 617-371-3010
Practice Fax: 617-371-3044
1720126808 — MS. KRISTINE DENISE BELLIVEAU LMHC
Practice Location Address:
105 VICTORY RD
DORCHESTER, MA
02122-3518
Practice Phone: 617-371-3010
Practice Fax:
1659411643 — ANNE ELIZABETH COLEMAN CCC-SLP
Practice Location Address:
105 VICTORY RD , BAYCOVE EARLY INTERVENTION
DORCHESTER, MA
02122-3518
Practice Phone: 617-371-3010
Practice Fax:
1013059815 — MS. ELAINE MARCIA PAISNER
Practice Location Address:
105 VICTORY RD
DORCHESTER, MA
02122-3518
Practice Phone: 617-371-3010
Practice Fax:

Directions to “BAY COVE HUMAN SERVICES, INC ” Practice Location

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