NPIMap

Organization Active NPI

Central Boston Elder Services, Inc.

  • Case Management Agency
  • Roxbury, MA
National Provider Identifier
1679609663
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CENTRAL BOSTON ELDER SERVICES, INC.
Practice address
2315 Washington St
Roxbury, MA 02119-3214
Phone
(617) 277-7416
Fax
(617) 731-0224
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Evens F Bontemps
Title
Accounting Manager
Phone
(617) 277-7416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2315 Washington St
Roxbury, MA 02119-3214

Mailing address

2315 Washington St
Roxbury, MA 02119-3214
Phone (617) 277-7416

Other identifiers 1

IdentifierTypeStateIssuer
1902954MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Central Boston Elder Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2315 Washington St
Roxbury, MA 02119
Phone (617) 277-7416

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679609663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 WASHINGTON ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021193214",
            "telephone_number": "617-277-7416",
            "fax_number": "617-731-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 WASHINGTON ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021193214",
            "telephone_number": "617-277-7416",
            "fax_number": "617-731-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL BOSTON ELDER SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BONTEMPS",
        "authorized_official_first_name": "EVENS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "617-277-7416",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902954",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.