EDGAR P BENJAMIN HEALTHCARE CENTER, INC (NPI# 1962491704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962491704 |
| Entity Type | Organization |
| Organization Name | EDGAR P BENJAMIN HEALTHCARE CENTER, INC |
| Other Organization Name | BENJAMIN HEALTHCARE CENTER |
| Practice Address |
120 Fisher Avenue Boston MA 02120-3320 |
| Practice Telephone | 6177381500 |
| Practice Fax Number | 6177386472 |
| Mailing Telephone | 6177381500 |
| Mailing Fax Number | 6177386472 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2012-02-16 |
| Authorized Official Name | MS. MYRNA E. WYNN (ADMINISTRATOR) |
| Authorized Official Telephone | 6177381500 |
| Authorized Official Credential | PRESIDENT & CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0785 | MA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0998613 | 05 |
| Other Name | Type Code |
|---|---|
| Benjamin Healthcare Center | Doing Business As Name - Organization |
| Street Address |
120 FISHER AVENUE |
| City | BOSTON |
| State | MA |
| Zip Code | 02120-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932320215 | Edgar P. Benjamin Healthcare Center, Inc | Skilled Nursing Facility | 120 Fisher Avenue, Boston, MA 02120-3320 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083244735 | Alicia Hoffman | Occupational Therapist | 71 Alleghany Street, Boston, MA 02120 | 2020-01-22 |
| 1376193110 | Katherine Wiley | Student in an Organized Health Care Education/Training Program | 71 Allegheny Street, Boston, MA 02120 | 2019-09-13 |
| 1073171971 | Kyana Figueroa | Community/Behavioral Health | 4 Sussex St, Roxbury, MA 02120 | 2019-06-05 |
| 1851870992 | Robert Kevin Moreland | Radiology | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 | 2018-08-09 |
| 1811424005 | Christopher Lim | Student in an Organized Health Care Education/Training Program | 1620 Tremont St, One Brigham Circle, Radiology Administration, Boston, MA 02120 | 2017-05-18 |
| 1609328178 | Nikhil A Sangave | Pharmacist | 1290 Tremont St Fl 3, Boston, MA 02120 | 2016-10-31 |
| 1417232968 | Hrc Corp Inc | Pharmacy | 201 Humboldt Avenue, Dorchester, MA 02120 | 2011-10-17 |
| 1689957722 | Hrd Corp, Inc | Pharmacy | 201 Humboldt Ave, Dorchester, MA 02120 | 2011-09-26 |
| 1841580453 | Alessandro Villa | Dentist | 1620 Tremont Street, Suite Bc-3-028, Division of Oral Medicine & Dentistry Bwh, Boston, MA 02120 | 2011-04-15 |
| 1043446859 | Sara King | Internal Medicine | 1290 Tremont Street, Boston, MA 02120 | 2009-06-08 |
| Find all providers in zip 02120 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174067052 | Companion Health Services | Skilled Nursing Facility | 284 North St, Boston, MA 02113-2108 | 2016-12-12 |
| 1487994893 | Jamaica Plain Health Group, LLC | Skilled Nursing Facility | 174 Forest Hill St, Boston, MA 02130-3353 | 2013-02-21 |
| 1376881201 | National Home Health Services Inc | Skilled Nursing Facility | 225 Franklin St Fl 26, Boston, MA 02110-2853 | 2013-01-28 |
| 1356496947 | Sherrill House, Inc | Skilled Nursing Facility | 135 S Huntington Ave, Boston, MA 02130-4885 | 2007-01-24 |
| 1407855000 | Frc, Inc | Skilled Nursing Facility | 70 Fulton St, Boston, MA 02109-1402 | 2005-07-18 |
| 1407859564 | South Cove Manor, Inc | Skilled Nursing Facility | 120 Shawmut Avenue, Boston, MA 02118-2293 | 2005-05-23 |
| 1811990930 | Boston Home Inc | Skilled Nursing Facility | 2049 Dorchester Ave, Boston, MA 02124-4742 | 2005-05-23 |
| 1508386897 | Neb Operator LLC | Skilled Nursing Facility | 70 Fulton St, Boston, MA 02109-1402 | 2017-06-27 |
| 1891035283 | Brighton Health Group, LLC | Skilled Nursing Facility | 10 Bellamy St, Boston, MA 02135-1502 | 2013-02-21 |
| 1932320215 | Edgar P. Benjamin Healthcare Center, Inc | Skilled Nursing Facility | 120 Fisher Avenue, Boston, MA 02120-3320 | 2007-05-02 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on EDGAR P BENJAMIN HEALTHCARE CENTER, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.