Active NPI
South Shore Support Services
- Home Health Agency
- Weymouth, MA
National Provider Identifier
1689882722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1906551
- Legal business name
- SOUTH SHORE SUPPORT SERVICES
- Practice address
- 317 Libbey Industrial Pkwy Unit B300
Weymouth, MA 02189-3113 - Phone
- (781) 331-7878
- Fax
- (781) 331-4882
- NPI assigned
- May 21, 2007
- Last updated
- Jul 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mary T. Burt
- Title
- Executive Director
- Phone
- (781) 331-7878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1906551 | MA | Primary |
Addresses
Primary practice location
317 Libbey Industrial Pkwy Unit B300
Weymouth, MA 02189-3113
Mailing address
PO Box 890126
Weymouth, MA 02189-0003
Phone (781) 331-7878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1906551 | Medicaid | MA |
National Provider Directory
National Provider Directory- Tax ID family
- Jeanne Hamilton Adult Day Health Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Weymouth, MA
- NPI 1669792149
-
- Home Health Agency
- Weymouth, MA
- NPI 1164830477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406592000000",
"number": "1689882722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 890126",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021890003",
"telephone_number": "781-331-7878",
"fax_number": "781-331-4882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 LIBBEY INDUSTRIAL PKWY UNIT B300",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021893113",
"telephone_number": "781-331-7878",
"fax_number": "781-331-4882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH SHORE SUPPORT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-21",
"last_updated": "2014-07-29",
"status": "A",
"authorized_official_last_name": "BURT",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "781-331-7878",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MA",
"license": "1906551",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1906551",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weymouth, MA
- South Shore MRI, Limited Partnership (South Shore Regional MRI Center)
- South Shore Orthopedics LLC
- South Shore Pediatric Dentistry
- South Shore Pelvic Health, LLC
- South Shore Support Services
- South Shore Support Services Inc.
- South Shore Therapies
- South Shore Therapies
- South Shore Wellness & Renewal Inc.
- South Suburban Neurosurgical Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.