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EAST BOSTON NEIGHBORHOOD HEALTH CENTER-NEIGHBORHOOD PACE NPI 1114054988


NPI Information

NPI: 1114054988
Provider Name: EAST BOSTON NEIGHBORHOOD HEALTH CENTER-NEIGHBORHOOD PACE

Other Name: ESP

Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Organization
Address:
10 GOVE ST
EAST BOSTON, MA
ZIP 02128
Phone: (617) 569-5800
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EAST BOSTON NEIGHBORHOOD HEALTH CENTER-NEIGHBORHOOD PACE is a program of all inclusive care for the elderly pace provider organization in East Boston, MA. The provider is a PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. EAST BOSTON NEIGHBORHOOD HEALTH CENTER-NEIGHBORHOOD PACE NPI is 1114054988. The provider is registered as an organization entity type.
The provider Other Name Is Esp.

The provider's business location address is:

10 GOVE ST
EAST BOSTON, MA
ZIP 02128-920
Phone: (617) 569-5800
Fax: (617) 568-4756

The provider's authorized official is Greg Wilmot .
The authorized official title is SR. VP/CHIEF OPERATION OFFICERVp/chief Operation Officer and has the following contact phone number (617) 568-4714.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 12/9/2020.


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
1251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization1802542MASSACHUSETTSYes

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

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