Active NPI
Boston Center for Independent Living, Inc.
- Personal Care Attendant
- Boston, MA
National Provider Identifier
1700913514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- BOSTON CENTER FOR INDEPENDENT LIVING, INC.
- Practice address
- 60 Temple PL
5TH Floor
Boston, MA 02111-1324 - Phone
- (617) 338-6665
- Fax
- (617) 338-6661
- NPI assigned
- Feb 28, 2007
- 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
- Mr. William Henning
- Title
- Executive Director
- Phone
- (617) 338-6665
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | MA | Primary |
Addresses
Primary practice location
60 Temple PL
5TH Floor
Boston, MA 02111-1324
Mailing address
60 Temple PL
5TH Floor
Boston, MA 02111-1324
Phone (617) 338-6665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5800005 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
60 Temple Pl
Fl 5
Boston, MA 02111
Phone (617) 338-6665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217376000000",
"number": "1700913514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 TEMPLE PL",
"address_2": "5TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111324",
"telephone_number": "617-338-6665",
"fax_number": "617-338-6661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 TEMPLE PL",
"address_2": "5TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111324",
"telephone_number": "617-338-6665",
"fax_number": "617-338-6661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOSTON CENTER FOR INDEPENDENT LIVING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2008-07-30",
"status": "A",
"authorized_official_last_name": "HENNING",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "16173386665",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5800005",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
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- Boston Child Study Center
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- Boston Children'S Connected Care National LLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.