BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC. – NPI #1962645572
Clinic/Center

BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC. is an AHC clinic located in JAMAICA PLAIN, MA. NPPES has assigned the NPI number 1962645572 to BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC. on April 13, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC. is also known by the name PINE STREET INN AT SHATTUCK. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 8 years ago on May 23, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC. below.

NPI Profile for
BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC.

NPI Number
1962645572
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC.
Other Name: PINE STREET INN AT SHATTUCK
Primary location
170 MORTON ST
JAMAICA PLAIN, MA 02130
Phone: (617) 983-0351 Fax: (617) 971-3121
Mailing address
780 ALBANY ST
BOSTON, MA 02118-2755
Phone: (857) 654-1227 Fax: (857) 654-1404
Organization Subpart
No
Authorized Official
AGNES LEUNG
CHIEF FINANCIAL OFFICER
Phone: (857) 654-1200
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)		 MA 4LQX

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.