ROGERSON COMMUNITIES NPI 1376600569

NPI Information

NPI: 1376600569
Provider Name: ROGERSON COMMUNITIES

Doing Business As: ROGERSON -EGLESTON ADULT DAY HEALTH PROGRAM

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 22D2202767

Address:
2053R COLUMBUS AVENUE
ROXBURY, MA
ZIP 02119
Phone: (617) 469-5800
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ROGERSON COMMUNITIES is an adult day care clinic center in Roxbury, MA. ROGERSON COMMUNITIES NPI is 1376600569. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Rogerson -egleston Adult Day Health Program.

The provider's business location address is:

2053R COLUMBUS AVENUE
ROXBURY, MA
ZIP 02119
Phone: (617) 469-5800

The provider's authorized official is Matt Piccarini .
The authorized official title is Financial Performance Manager and has the following contact phone number (617) 463-5836.

The CLIA number assigned to this NPI record is 22D2202767 - other - adult day health program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 9/12/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	373H00000X	Day Training/Habilitation Specialist			MASSACHUSETTS	No
2	261QA0600X	Clinic/Center	Adult Day Care			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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1905970	MEDICAID	MASSACHUSETTS

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: 4/28/2024

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