Active NPI
Southwest Boston Senior Services, Inc.
Doing business as Ethos
- Home Delivered Meals
- Jamaica Plain, MA
National Provider Identifier
1003645417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Delivered Meals
- Legal business name
- SOUTHWEST BOSTON SENIOR SERVICES, INC.
- Doing business as
- Ethos
- Practice address
- 555 Amory St Ste 17
Jamaica Plain, MA 02130-2770 - Phone
- (617) 522-6700
- Fax
- (617) 524-2899
- NPI assigned
- Aug 1, 2024
- Last updated
- Aug 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Margery J Gann
- Title
- Chief Operating Officer
- Phone
- (617) 477-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Delivered Meals | 332U00000X | NU | Primary |
Addresses
Primary practice location
555 Amory St Ste 17
Jamaica Plain, MA 02130-2770
Mailing address
555 Amory St
Jamaica Plain, MA 02130-2652
Phone (617) 477-6641
Other names 1
- Ethos
National Provider Directory
National Provider Directory- Tax ID family
- Ethos
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
Locations
555 Amory St
Ste 17
Jamaica Plain, MA 02130
Phone (617) 522-6700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722470400000",
"number": "1003645417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 AMORY ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021302652",
"telephone_number": "617-477-6641",
"fax_number": "617-524-2899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 AMORY ST STE 17",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021302770",
"telephone_number": "617-522-6700",
"fax_number": "617-524-2899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST BOSTON SENIOR SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-01",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A",
"authorized_official_last_name": "GANN",
"authorized_official_first_name": "MARGERY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "617-477-6641",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ethos",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.