Provider Demographics
NPI:1386702264
Name:BAY COVE HUMAN SERVICES, INC
Entity type:Organization
Organization Name:BAY COVE HUMAN SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO & SVP
Authorized Official - Prefix:
Authorized Official - First Name:MARCEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VERNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-619-6961
Mailing Address - Street 1:66 CANAL ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2002
Mailing Address - Country:US
Mailing Address - Phone:617-371-3000
Mailing Address - Fax:617-371-3100
Practice Address - Street 1:31 BOWKER ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2917
Practice Address - Country:US
Practice Address - Phone:617-371-3000
Practice Address - Fax:617-371-3100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000008433OtherBMC HEALTHNET PLAN
MA1302272Medicaid
MA1306448Medicaid
MA1000290OtherBHS (NHP AND FALLON)
MA000000008416OtherBMC HEALTHNET PLAN
MA796212OtherNETWORK HEALTH PLAN
MABOS2225003301OtherBLUE CROSS BLUE SHIELD MA
MA996211001OtherNETWORK HEALTH PLAN
MA1310194OtherMBHP
MA98738301OtherNETWORK HEALTH PLAN
MA99621101OtherNETWORK HEALTH PLAN
MA1306448OtherMBHP
MA1307681OtherMBHP