Organization Active NPI

Wollaston Lutheran Church Apts. Dba Fenno House

  • Assisted Living Facility
  • Quincy, MA
National Provider Identifier
1740026251
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WOLLASTON LUTHERAN CHURCH APTS. DBA FENNO HOUSE
Doing business as
Fenno House
Practice address
540 Hancock St
Quincy, MA 02170-1929
Phone
(617) 773-5483
Fax
(833) 921-2491
NPI assigned
Jul 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Mrs. Kristeena Tischer
Title
Assistant Manager
Phone
(617) 773-5483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

540 Hancock St
Quincy, MA 02170-1929

Mailing address

540 Hancock St
Quincy, MA 02170-1929
Phone (617) 773-5483

Other names 1

  • Fenno House Doing business as

National Provider Directory

National Provider Directory

Locations

540 Hancock St
Quincy, MA 02170
Phone (617) 773-5483

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1740026251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021701929",
            "telephone_number": "617-773-5483",
            "fax_number": "833-921-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021701929",
            "telephone_number": "617-773-5483",
            "fax_number": "833-921-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLLASTON LUTHERAN CHURCH APTS. DBA FENNO HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "TISCHER",
        "authorized_official_first_name": "KRISTEENA",
        "authorized_official_title_or_position": "ASSISTANT MANAGER",
        "authorized_official_telephone_number": "617-773-5483",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fenno House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 3, 2024; 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.