Providence Living LLC
Substance Abuse Rehabilitation Facility in Boston, Massachusetts
1942920459- Practice location
- 896 Beacon St Ste A, Boston, MA 02215-3033
- Phone
- 617-314-7544
- Fax
- 888-373-9844
- Last updated
- August 21, 2025
Providence Living LLC is a healthcare organization based in Boston, MA. Providence Living LLC practices in Boston, MA. The NPI Number for Providence Living LLC is 1942920459. The current practice location address for Providence Living LLC is 896 Beacon St Ste A, Boston, MA 02215-3033 and can be reached out via phone at 617-314-7544 and via fax at 888-373-9844.
Provider Profile Details
- NPI Number
- 1942920459
- Provider Name
- Providence Living LLC
- Provider Entity Type
- Organization
- Address
- 896 Beacon St Ste A, Boston, MA 02215-3033
- Phone Number
- 617-314-7544
- Fax Number
- 888-373-9844
- Primary Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X
- Organization Subpart
- No
- Authorized Official
- Dr. Dung Gabe Lau, PHD · Coo · 617-314-7544
- Other Names
- Providence Treatment (Doing Business As)
- Provider Enumeration Date
- September 2, 2022
- Last Update Date
- August 21, 2025
- Certification Date
- August 21, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 896 Beacon St Ste A
Boston, MA 02215-3033 - City
- Boston
- State
- Massachusetts
- Zip
- 02215-3033
- Phone Number
- 617-314-7544
- Fax Number
- 888-373-9844
Provider Business Mailing Address Details
- Address
- 896 Beacon St Ste A
Boston, MA 02215-3033 - City
- Boston
- State
- MA
- Zip
- 02215-3033
- Phone Number
- 617-314-7544
- Fax Number
- 888-373-9844
License Information
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Taxonomy (2)
- Substance Abuse Rehabilitation Facility · 324500000X · 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 Providence Living LLC?
The NPI number of Providence Living LLC is 1942920459. It was assigned on September 2, 2022 and is currently active in the NPPES registry.
What is the specialty of Providence Living LLC?
Providence Living LLC is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X).
Where does Providence Living LLC practice?
The practice location is 896 Beacon St Ste A, Boston, MA 02215-3033. The office can be reached at 617-314-7544 (phone) or 888-373-9844 (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 1942920459 directly on the NPPES registry website.