Organization Active NPI

Sophia Snow House, Inc.

  • Custodial Care Facility
  • West Roxbury, MA
National Provider Identifier
1265608236
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
1041 Issued in MA
Legal business name
SOPHIA SNOW HOUSE, INC.
Practice address
1215 Centre St
West Roxbury, MA 02132-7701
Phone
(617) 325-7900
Fax
(617) 325-6293
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Authorized official

Name
Ms. Judy Jose-Roddy
Title
Executive Director
Phone
(671) 325-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 1041 MA Primary

Addresses

Primary practice location

1215 Centre St
West Roxbury, MA 02132-7701

Mailing address

1215 Centre St
West Roxbury, MA 02132-7701
Phone (617) 325-7900

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2202615Sophia Snow House Inc1215 Centre St, West Roxbury, MA 02132Certificate of waiverNov 29, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1265608236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021327701",
            "telephone_number": "617-325-7900",
            "fax_number": "617-325-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021327701",
            "telephone_number": "617-325-7900",
            "fax_number": "617-325-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHIA SNOW HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "JOSE-RODDY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "671-325-7900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MA",
            "license": "1041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.