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SOUTHWEST BOSTON SENIOR SERVICES INC. NPI 1689708505


NPI Information

NPI: 1689708505
Provider Name: SOUTHWEST BOSTON SENIOR SERVICES, INC.

Doing Business As: ETHOS

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
555 AMORY ST
JAMAICA PLAIN, MA
ZIP 02130
Phone: (617) 522-6700
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SOUTHWEST BOSTON SENIOR SERVICES, INC. is a point of service in Jamaica Plain, MA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. SOUTHWEST BOSTON SENIOR SERVICES, INC. NPI is 1689708505. The provider is registered as an organization entity type.
The provider Is Doing Business As Ethos.

The provider's business location address is:

555 AMORY ST
JAMAICA PLAIN, MA
ZIP 02130-652
Phone: (617) 522-6700
Fax: (617) 524-2899

The provider's authorized official is Dale P. Mitchell .
The authorized official title is Executive Director and has the following contact phone number (617) 522-6700.

The enumeration date for this NPI number is 3/15/2007 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
1305S00000XPoint of ServiceYes

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
10603805MEDICAIDMASSACHUSETTS

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.