NPIMap

Organization Active NPI

Boston Rescue Mission, Inc.

  • Community/Behavioral Health Agency
  • Boston, MA
National Provider Identifier
1144572165
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0874 Issued in MA
Legal business name
BOSTON RESCUE MISSION, INC.
Practice address
39 Kingston St
Boston, MA 02111-2208
Phone
(617) 338-9000
Fax
(617) 482-6623
NPI assigned
Oct 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Samaan, MBA, M. DIV
Title
President and Ceo
Phone
(617) 338-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0874 MA Primary

Addresses

Primary practice location

39 Kingston St
Boston, MA 02111-2208

Mailing address

PO Box 120069
Boston, MA 02112-0069
Phone (617) 338-9000

National Provider Directory

National Provider Directory

Locations

39 Kingston St
Boston, MA 02111
Phone (617) 338-9000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1144572165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120069",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021120069",
            "telephone_number": "617-338-9000",
            "fax_number": "617-482-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 KINGSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021112208",
            "telephone_number": "617-338-9000",
            "fax_number": "617-482-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON RESCUE MISSION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "SAMAAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "617-338-9000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, M. DIV"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "0874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.