Organization
COMMONWEALTH OF MASSACHUSETS
Active
Parent organization
COMMONWEALTH OF MASSACHUSETTS
Other names
DDS NORTH SHORE AREA OFFICE, Department of Developmental Services - North Shore Office
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMONWEALTH OF MASSACHUSETTS
Authorized official
DYLAN LATTIMORE (DEPUTY COMMISSIONER FOR ADMINISTRAT)
(857) 408-0675
Entity
Organization
Contact information
Practice address
100 CUMMINGS CENTER, SUITE 419E, BEVERLY, MA 01915-6135
(978) 927-2727
Mailing address
40 BROAD STREET, 4TH FLOOR, BOSTON, MA 02109
(617) 727-5608
(617) 624-7577
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110000085E
—
MA
05
—
1813226
—
MA
Enumeration date
03/05/2007
Last updated
03/19/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us