Active NPIOrganization

Prospect House

Assisted Living Facility in Revere, Massachusetts

NPI Number1962625392
Practice location
420 Reservoir Ave, Revere, MA 02151-5819
Fax
—
Last updated
August 22, 2020

Prospect House is a healthcare organization based in Revere, MA. Prospect House practices in Revere, MA. The NPI Number for Prospect House is 1962625392. The current practice location address for Prospect House is 420 Reservoir Ave, Revere, MA 02151-5819 and can be reached out via phone at 781-853-0005.

Provider Profile Details

NPI Number
1962625392
Provider Name
Prospect House
Provider Entity Type
Organization
Address
420 Reservoir Ave, Revere, MA 02151-5819
Phone Number
781-853-0005
Primary Taxonomy
Assisted Living Facility · 310400000X
Organization Subpart
No
Authorized Official
Shawn Bertram · Executive Director · 781-853-0005
Provider Enumeration Date
April 11, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
420 Reservoir Ave
Revere, MA 02151-5819
City
Revere
Zip
02151-5819
Phone Number
781-853-0005
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
420 Reservoir Ave
Revere, MA 02151-5819
City
Revere
State
MA
Zip
02151-5819

License Information

License State
MA
Taxonomy
Assisted Living Facility · 310400000X · 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 Prospect House?

The NPI number of Prospect House is 1962625392. It was assigned on April 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Prospect House?

Prospect House is registered under the primary taxonomy Assisted Living Facility (code 310400000X).

Where does Prospect House practice?

The practice location is 420 Reservoir Ave, Revere, MA 02151-5819. The office can be reached at 781-853-0005 (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 1962625392 directly on the NPPES registry website.

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