South Shore Recovery Home
Community/Behavioral Health in Quincy, Massachusetts
1669988291- Practice location
- 10 Dysart St, Quincy, MA 02169-6702
- Phone
- 617-773-7023
- Fax
- 167-328-3799
- Last updated
- December 19, 2017
South Shore Recovery Home is a healthcare organization based in Quincy, MA. South Shore Recovery Home practices in Quincy, MA. The NPI Number for South Shore Recovery Home is 1669988291 and holds a License No. 0207 (MA). The current practice location address for South Shore Recovery Home is 10 Dysart St, Quincy, MA 02169-6702 and can be reached out via phone at 617-773-7023 and via fax at 167-328-3799.
Provider Profile Details
- NPI Number
- 1669988291
- Provider Name
- South Shore Recovery Home
- Provider Entity Type
- Organization
- Address
- 10 Dysart St, Quincy, MA 02169-6702
- Phone Number
- 617-773-7023
- Fax Number
- 167-328-3799
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Robert L Monahan, PHD, LADAC I · Exec Director · 617-773-7023
- Provider Enumeration Date
- December 19, 2017
- Last Update Date
- December 19, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Dysart St
Quincy, MA 02169-6702 - City
- Quincy
- State
- Massachusetts
- Zip
- 02169-6702
- Phone Number
- 617-773-7023
- Fax Number
- 167-328-3799
Provider Business Mailing Address Details
- Address
- 10 Dysart St
Quincy, MA 02169-6702 - City
- Quincy
- State
- MA
- Zip
- 02169-6702
- Phone Number
- 617-773-7023
- Fax Number
- 167-328-3799
License Information
- License Number
- 0207
- License State
- MA
- Taxonomy
- Community/Behavioral Health · 251S00000X · 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 South Shore Recovery Home?
The NPI number of South Shore Recovery Home is 1669988291. It was assigned on December 19, 2017 and is currently active in the NPPES registry.
What is the specialty of South Shore Recovery Home?
South Shore Recovery Home is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in MA under license number 0207.
Where does South Shore Recovery Home practice?
The practice location is 10 Dysart St, Quincy, MA 02169-6702. The office can be reached at 617-773-7023 (phone) or 167-328-3799 (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 1669988291 directly on the NPPES registry website.