REGISTERED NURSE AGENCY NPI 1780005330

NPI Information

  • NPI: 1780005330
  • Provider Name: REGISTERED NURSE AGENCY
  • Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
  • Entity Type: Organization
  • Other Name: NA
  • Address: 580 SHAWMUT AVE
    APT 1A
    BOSTON, MA
    ZIP 02118
  • Phone: (617) 275-9385

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NPI Details

REGISTERED NURSE AGENCY is a nursing facility intermediate care facility in Boston, MA. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. REGISTERED NURSE AGENCY NPI is 1780005330. The provider is registered as an organization entity type.
The provider Other Name Is Na.

The provider's business location address is:

580 SHAWMUT AVE
APT 1A
BOSTON, MA
ZIP 02118-775
Phone: (617) 275-9385

The provider's authorized official is Nosayaba Esther Izedonmwen .
The authorized official title is Registered Nurse and has the following contact phone number (617) 275-9385.

The enumeration date for this NPI number is 12/30/2013 and was last updated on 12/30/2013.

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
1313M00000XNursing Facility/Intermediate Care Facility2268310MASSACHUSETTSYes

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: 11/21/2025

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