NPIMap

Organization Active NPI

Boston Health Care for the Homeless Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Quincy, MA
National Provider Identifier
1336382944
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
4LQX Issued in MA
Legal business name
BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC.
Practice address
38 Broad St
Quincy, MA 02169
Phone
(617) 770-3314
Fax
(617) 773-3146
NPI assigned
Apr 13, 2009
Last updated
May 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Agnes W Leung
Title
Chief Financial Officer
Phone
(857) 654-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 4LQX MA Primary

Addresses

Primary practice location

38 Broad St
Quincy, MA 02169

Mailing address

780 Albany St
Boston, MA 02118-2755
Phone (857) 654-1227

Other names 1

  • Father Bill's Place Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110527000309 MA Part B Supplier - Clinic/Group Practice 2668475419 Receives reassigned benefits from 139 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Roxbury, MA; Quincy, MA; Jamaica Plain, MA; Boston, MA

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1336382944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 ALBANY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182755",
            "telephone_number": "857-654-1227",
            "fax_number": "857-654-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 BROAD ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "telephone_number": "617-770-3314",
            "fax_number": "617-773-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "857-654-1200"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MA",
            "license": "4LQX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Father Bill's Place",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Father Bill's Place",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.