LEMUEL SHATTUCK HOSPITAL – NPI #1174699458
Long Term Care Hospital

Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.

LEMUEL SHATTUCK HOSPITAL is a long term care hospital located in JAMAICA PLAIN, MA. NPPES has assigned the NPI number 1174699458 to LEMUEL SHATTUCK HOSPITAL on November 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LEMUEL SHATTUCK HOSPITAL” is a dba name, the actual legal business name for this organization is THE COMMONWEALTH OF MASSACHUSETTS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 282E00000X from the Health Care Provider Taxonomy code set, which is classified as Long Term Care Hospital.

The NPI profile was previously updated about 4 years ago on Mar 28, 2022. 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 LEMUEL SHATTUCK HOSPITAL below.

NPI Profile for
THE COMMONWEALTH OF MASSACHUSETTS

NPI Number
1174699458
Enumeration Date

(more than 19 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
THE COMMONWEALTH OF MASSACHUSETTS
Doing Business As (dba): LEMUEL SHATTUCK HOSPITAL
Primary location
170 MORTON STREET
JAMAICA PLAIN, MA 02130-3735
Phone: (617) 522-8110 Fax: (617) 971-3850
Mailing address
Same as primary location
Organization Subpart
Yes - LEMUEL SHATTUCK HOSPITAL is subpart of another organization.
Authorized Official
VALENDA LIPTAK
BUREAU DIRECTOR, PUBLIC HEALTH HOSP
Phone: (413) 784-9186
Updated
Certification Date
Mar 28, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LEMUEL SHATTUCK HOSPITAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMA9780319
MEDICAIDMA110078189C
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
282E00000X
- Long Term Care Hospital (Primary)
281P00000X
- Chronic Disease Hospital
261QP2300X
- Clinic/Center / Primary Care

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.