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ST. BOTOLPH ASSISTED LIVING LIMITED PARTNERSHIP NPI 1740322130


NPI Information

NPI: 1740322130
Provider Name: ST. BOTOLPH ASSISTED LIVING LIMITED PARTNERSHIP

Doing Business As: SUSAN S. BAILIS ASSISTED LIVING COMMUNITY

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
352 MASSACHUSETTS AVE
BOSTON, MA
ZIP 02115
Phone: (617) 247-1010
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ST. BOTOLPH ASSISTED LIVING LIMITED PARTNERSHIP is an assisted living facility in Boston, MA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ST. BOTOLPH ASSISTED LIVING LIMITED PARTNERSHIP NPI is 1740322130. The provider is registered as an organization entity type.
The provider Is Doing Business As Susan S. Bailis Assisted Living Community.

The provider's business location address is:

352 MASSACHUSETTS AVE
BOSTON, MA
ZIP 02115-950
Phone: (617) 247-1010

The provider's authorized official is Jeanne Fuller-jones .
The authorized official title is Executive Director and has the following contact phone number (617) 247-1010.

The enumeration date for this NPI number is 2/13/2007 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
1310400000XAssisted Living Facility1906127MASSACHUSETTSYes

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
11906127OTHERMASSACHUSETTSMASS HEALTH

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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