MOUNT PLEASANT HOME NPI 1942296793

NPI Information

  • NPI: 1942296793
  • Provider Name: MOUNT PLEASANT HOME
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • CLIA Number: 22D1079685
  • Address: 301 S HUNTINGTON AVE
    JAMAICA PLAIN, MA
    ZIP 02130
  • Phone: (617) 522-7600

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NPI Details

MOUNT PLEASANT HOME is an adult care home custodial care facility in Jamaica Plain, MA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. MOUNT PLEASANT HOME NPI is 1942296793. The provider is registered as an organization entity type.

The provider's business location address is:

301 S HUNTINGTON AVE
JAMAICA PLAIN, MA
ZIP 02130-807
Phone: (617) 522-7600
Fax: (617) 522-0201

The provider's authorized official is Merlin Southwick .
The authorized official title is Executive Director and has the following contact phone number (617) 522-7600.

The CLIA number assigned to this NPI record is 22D1079685 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2005 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care Home1096 (DEPT PUB HLTH)MASSACHUSETTSYes

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
15500923MEDICAIDMASSACHUSETTS

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: 3/30/2025

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