Active NPIOrganization

405 River Street Operating Company, LLC

Skilled Nursing Facility in Mattapan, Massachusetts

NPI Number1609733757
Practice location
405 River St, Mattapan, MA 02126-2210
Fax
—
Last updated
April 15, 2026

405 River Street Operating Company, LLC is a healthcare organization based in Mattapan, MA. 405 River Street Operating Company, LLC practices in Mattapan, MA. The NPI Number for 405 River Street Operating Company, LLC is 1609733757. The current practice location address for 405 River Street Operating Company, LLC is 405 River St, Mattapan, MA 02126-2210 and can be reached out via phone at 617-296-5585.

Provider Profile Details

NPI Number
1609733757
Provider Name
405 River Street Operating Company, LLC
Provider Entity Type
Organization
Address
405 River St, Mattapan, MA 02126-2210
Phone Number
617-296-5585
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Jeffrey Rubin · Authorized Official · 516-413-6321
Other Names
Care Village At Mattapan (Doing Business As)
Provider Enumeration Date
January 8, 2026
Last Update Date
April 15, 2026
Certification Date
April 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
405 River St
Mattapan, MA 02126-2210
Zip
02126-2210
Phone Number
617-296-5585
Mattapan, MA 02126Get directions →

Provider Business Mailing Address Details

Address
405 River St
Mattapan, MA 02126-2210
City
Mattapan
State
MA
Zip
02126-2210
Phone Number
617-296-5585

License Information

Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of 405 River Street Operating Company, LLC?

The NPI number of 405 River Street Operating Company, LLC is 1609733757. It was assigned on January 8, 2026 and is currently active in the NPPES registry.

What is the specialty of 405 River Street Operating Company, LLC?

405 River Street Operating Company, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does 405 River Street Operating Company, LLC practice?

The practice location is 405 River St, Mattapan, MA 02126-2210. The office can be reached at 617-296-5585 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609733757 directly on the NPPES registry website.

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