Provider Demographics
NPI:1497981591
Name:BAY COVE HUMAN SERVICES, INC
Entity type:Organization
Organization Name:BAY COVE HUMAN SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO AND SVP OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VERNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-405-5111
Mailing Address - Street 1:66 CANAL ST
Mailing Address - Street 2:ATTN: HEMA MAHASE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2002
Mailing Address - Country:US
Mailing Address - Phone:617-619-5919
Mailing Address - Fax:617-227-2454
Practice Address - Street 1:66 CANAL ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2002
Practice Address - Country:US
Practice Address - Phone:617-619-5900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-03
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MABOS2225003301OtherBLUE CROSS BLUE SHIELD OF MASS
MA796212OtherNETWORK HEALTH PLAN
MA1000290OtherBHS (NHP AND FALLON)
MA1303562Medicaid
MA1310194OtherMBHP
MA1307681OtherMBHP
MA1306448OtherMBHP
MA000000008416OtherNETWORK HEALTH PLAN
MA000000008433OtherBMC HEALTHNET PLAN
MA1306448Medicaid
MA98738301OtherNETWORK HEALTH PLAN
MA1306448Medicaid