OrganizationActive
Health and Education Services
NPI 1366612905 · Mental Illness Intermediate Care Facility · Haverhill, MA
Provider details
- NPI number
- 1366612905
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Gwen Owen, Geriatric Clinician(978) 373-1126
- License
- 113175 (MA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
60 Merrimack St
Haverhill, MA 01830-6207
Phone: (978) 373-1126
Fax: (978) 373-6363
Street-level locationGet directions
Mailing address
60 Merrimack St
Haverhill, MA 01830-6207
Registry dates
- Enumerated
- 2008-03-11
- Last updated
- 2008-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.