Pine Street Inn, INC.
Residential Treatment Facility, Physical Disabilities in Dorchester Center, Massachusetts
1639337280- Practice location
- 28 Rockwell St, Dorchester Center, MA 02124-4438
- Phone
- 617-892-8802
- Fax
- 617-825-9020
- Last updated
- May 30, 2008
Pine Street Inn, INC. is a healthcare organization based in Dorchester Center, MA. Pine Street Inn, INC. practices in Dorchester Center, MA. The NPI Number for Pine Street Inn, INC. is 1639337280. The current practice location address for Pine Street Inn, INC. is 28 Rockwell St, Dorchester Center, MA 02124-4438 and can be reached out via phone at 617-892-8802 and via fax at 617-825-9020.
Provider Profile Details
- NPI Number
- 1639337280
- Provider Name
- Pine Street Inn, INC.
- Provider Entity Type
- Organization
- Address
- 28 Rockwell St, Dorchester Center, MA 02124-4438
- Phone Number
- 617-892-8802
- Fax Number
- 617-825-9020
- Primary Taxonomy
- Residential Treatment Facility, Physical Disabilities · 320700000X
- Organization Subpart
- No
- Authorized Official
- Mr. Terrence B Gagne · Chief Financial Officer · 617-892-9116
- Provider Enumeration Date
- May 30, 2008
- Last Update Date
- May 30, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 28 Rockwell St
Dorchester Center, MA 02124-4438 - State
- Massachusetts
- Zip
- 02124-4438
- Phone Number
- 617-892-8802
- Fax Number
- 617-825-9020
Provider Business Mailing Address Details
- Address
- 444 Harrison Ave
Boston, MA 02118-2404 - City
- Boston
- State
- MA
- Zip
- 02118-2404
- Phone Number
- 617-482-4944
- Fax Number
- 617-451-1890
License Information
- Taxonomy
- Residential Treatment Facility, Physical Disabilities · 320700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Pine Street Inn, INC.?
The NPI number of Pine Street Inn, INC. is 1639337280. It was assigned on May 30, 2008 and is currently active in the NPPES registry.
What is the specialty of Pine Street Inn, INC.?
Pine Street Inn, INC. is registered under the primary taxonomy Residential Treatment Facility, Physical Disabilities (code 320700000X).
Where does Pine Street Inn, INC. practice?
The practice location is 28 Rockwell St, Dorchester Center, MA 02124-4438. The office can be reached at 617-892-8802 (phone) or 617-825-9020 (fax).
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 1639337280 directly on the NPPES registry website.