Provider Demographics
NPI:1538566575
Name:GREATER NEW ENGLAND HUMAN SERVICES GROUP, INC.
Entity type:Organization
Organization Name:GREATER NEW ENGLAND HUMAN SERVICES GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:EMILE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-682-2515
Mailing Address - Street 1:8 WRIGHT ST STE 107
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-3114
Mailing Address - Country:US
Mailing Address - Phone:203-682-2515
Mailing Address - Fax:203-682-2301
Practice Address - Street 1:8 WRIGHT ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-3100
Practice Address - Country:US
Practice Address - Phone:203-904-2959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-19
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT0974731OtherSECRETARY OF STATE BUSINESS ID