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SUBURBAN HOME CARE MEDRIDE NPI 1770608341


NPI Information

NPI: 1770608341
Provider Name: SUBURBAN HOME CARE MEDRIDE
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
1050 COMMONWEALTH AVE
SUITE 300
BOSTON, MA
ZIP 02215
Phone: (781) 599-5200
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SUBURBAN HOME CARE MEDRIDE is a non emergency medical transport van in Boston, MA. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. SUBURBAN HOME CARE MEDRIDE NPI is 1770608341. The provider is registered as an organization entity type.

The provider's business location address is:

1050 COMMONWEALTH AVE
SUITE 300
BOSTON, MA
ZIP 02215-109
Phone: (781) 599-5200
Fax: (781) 592-7839

The provider's authorized official is Michael J Roper .
The authorized official title is President and has the following contact phone number (781) 599-5200.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343900000XNon-emergency Medical Transport (VAN)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11720767MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.