BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC. (NPI# 1962645572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962645572 |
| Entity Type | Organization |
| Organization Name | BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC. |
| Other Organization Name | PINE STREET INN AT SHATTUCK |
| Practice Address |
170 Morton St Jamaica Plain MA 02130 |
| Mailing Address |
780 Albany St Boston MA 02118-2755 |
| Practice Telephone | 6179830351 |
| Practice Fax Number | 6179713121 |
| Mailing Telephone | 8576541227 |
| Mailing Fax Number | 8576541404 |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2018-05-23 |
| Authorized Official Name | AGNES W LEUNG (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8576541200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
4LQX | MA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pine Street Inn at Shattuck | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942663851 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 461 Walnut Ave, Jamaica Plain, MA 02130 | 2016-03-30 |
| 1780827394 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 112 Southampton St, Boston, MA 02118 | 2009-04-13 |
| 1871736488 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 39 Boylston St Fl 2, Boston, MA 02116 | 2009-04-13 |
| 1205080355 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 363 Albany St, Boston, MA 02118-2503 | 2008-11-14 |
| 1174012926 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 780 Albany St, Boston, MA 02118-2755 | 2018-05-08 |
| 1336382944 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 38 Broad St, Quincy, MA 02169 | 2009-04-13 |
| 1245473859 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 55 Fruit St, Wacc 108, Boston, MA 02114 | 2009-04-13 |
| 1063655678 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 17 Court St, Boston, MA 02108 | 2009-04-13 |
| 1205080348 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 444 Harrison Ave, Boston, MA 02118 | 2008-11-14 |
| 1801013347 | Boston Health Care for The Homeless Program, Inc. | Pharmacy | 780 Albany St, Boston, MA 02118 | 2007-04-19 |
| Street Address |
170 MORTON ST |
| City | JAMAICA PLAIN |
| State | MA |
| Zip Code | 02130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598745630 | Daniella Floru | Internal Medicine | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2006-01-17 |
| 1790390466 | Caz Novak | Social Worker | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2020-09-10 |
| 1215566849 | James William Assif | Student in an Organized Health Care Education/Training Program | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2020-04-06 |
| 1982233045 | Ramy Rashad | Student in an Organized Health Care Education/Training Program | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2020-04-02 |
| 1154958205 | Yu Sakai | Student in an Organized Health Care Education/Training Program | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2020-03-26 |
| 1447890785 | Joseph Philip Rearick | Counselor | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2020-01-15 |
| 1093359580 | Samuel Paul Newman | Counselor | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2019-10-29 |
| 1760044739 | Nicole Jean Dell'erario | Social Worker | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2019-07-01 |
| 1154986784 | Saliha Fatima Abdal-khabir | Registered Nurse | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2019-05-09 |
| 1659935351 | Johnny Jarnagin | Student in an Organized Health Care Education/Training Program | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2019-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942663851 | Boston Health Care for The Homeless Program, Inc. | Clinic/Center | 461 Walnut Ave, Jamaica Plain, MA 02130 | 2016-03-30 |
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|---|---|---|---|---|
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| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1497148407 | Brockton Neighborhood Health Center | Clinic/Center | 158 Pleasant Street, Brockton, MA 02301 | 2015-03-16 |
| 1053729426 | Community Health Connections, Inc. | Clinic/Center | 140 Arnhow Farm Road, Fitchburg, MA 01420-1369 | 2014-07-29 |
| 1689092595 | Lowell Community Health Center, Inc. | Clinic/Center | 101 Jackson St, Lowell, MA 01852-2103 | 2014-03-29 |
| 1912272899 | Community Health Programs, Inc | Clinic/Center | 19 Depot Street, Adams, MA 01220 | 2012-03-12 |
| 1225323777 | Family Health Center of Worcester, Inc. | Clinic/Center | 14 Richards St, Goddard Health Center, Worcester, MA 01603-2609 | 2011-06-13 |
| 1801181334 | Family Health Center of Worcester, Inc. | Clinic/Center | 140 Apricot St, Sullivan Middle Health Center, Worcester, MA 01603-1225 | 2011-06-13 |
| 1720373251 | Family Health Center of Worcester, Inc. | Clinic/Center | 299 Highland St, Doherty School Based Health Center, Worcester, MA 01602-2110 | 2011-06-13 |
| 1144514316 | Family Health Center of Worcester, Inc. | Clinic/Center | 15 Claremont St, School-based Health Center, Worcester, MA 01610-1436 | 2011-06-06 |
| Find all providers with the same taxonomy | ||||
| City | JAMAICA PLAIN |
| Zip Code | 02130 |
Please comment or provide details below to improve the information on BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, 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.