NPIMap

Organization Active NPI

Living Well Rehab Center

  • Rehabilitation Clinic/Center
  • Mattapan, MA
National Provider Identifier
1669660510
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
LIVING WELL REHAB CENTER
Practice address
534 River St
Mattapan, MA 02126-3014
Phone
(617) 296-6200
Fax
(617) 296-6300
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Mr. Frico Damas
Title
President/Owner
Phone
(617) 296-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

534 River St
Mattapan, MA 02126-3014

Mailing address

534 River St
Mattapan, MA 02126-3014
Phone (617) 296-6200

National Provider Directory

National Provider Directory

Locations

534 River St
Mattapan, MA 02126
Phone (617) 296-6200

Practitioners & affiliated clinicians

Practitioners 1

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": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1669660510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 RIVER ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021263014",
            "telephone_number": "617-296-6200",
            "fax_number": "617-296-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 RIVER ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021263014",
            "telephone_number": "617-296-6200",
            "fax_number": "617-296-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "DAMAS",
        "authorized_official_first_name": "FRICO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "617-296-6200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "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 Oct 4, 2007; 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.