NPIMap

Organization Active NPI

Hour House Boston, Incorporated

  • Mental Illness Community Based Residential Treatment Facility
  • Mattapan, MA
National Provider Identifier
1205369204
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
1021128 Issued in MA
Legal business name
HOUR HOUSE BOSTON, INCORPORATED
Practice address
612 Norfolk St
Mattapan, MA 02126-2363
Phone
(617) 935-1086
NPI assigned
Apr 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Authorized official

Name
Cathy Jacobs, LICSW
Title
Clinical Director
Phone
(617) 935-1086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 1021128 MA Primary

Addresses

Primary practice location

612 Norfolk St
Mattapan, MA 02126-2363

Mailing address

612 Norfolk St
Mattapan, MA 02126-2363
Phone (617) 935-1086

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1205369204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 NORFOLK ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262363",
            "telephone_number": "617-935-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 NORFOLK ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262363",
            "telephone_number": "617-935-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUR HOUSE BOSTON, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "617-935-1086",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MA",
            "license": "1021128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattapan, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.