Organization
COMMONWEALTH OF MASSACHUSETTS
Active
Parent organization
COMMONWEALTH OF MASSACHUSETS
Other names
HOGAN REGIONAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMONWEALTH OF MASSACHUSETS
Authorized official
DYLAN LATTIMORE (DEPUTY COMMISSIONER OF ADMINSTRATIO)
(857) 408-0675
Entity
Organization
Contact information
Practice address
450 MAPLE ST, HATHORNE, MA 01937
(978) 774-5000
Mailing address
40 BROAD STREET, 4TH FLOOR, BOSTON, MA 02109
(617) 727-5608
(617) 624-7577
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0909505
—
MA
05
—
110000087A
—
MA
Enumeration date
08/15/2007
Last updated
03/19/2026
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