MOUNT PLEASANT HOME NPI 1942296793

NPI Information

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

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Other Identifiers

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