Organization Active NPI

Greater Boston Chinese Golden Age Center, Inc.

  • Adult Day Care Clinic/Center
  • Brighton, MA
National Provider Identifier
1750406567
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
GREATER BOSTON CHINESE GOLDEN AGE CENTER, INC.
Practice address
677 Cambridge St
Brighton, MA 02135-2802
Phone
(617) 789-4289
Fax
(617) 789-5623
NPI assigned
Mar 20, 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
Mrs. Ruth C. Moy
Title
Executive Director
Phone
(617) 357-0226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X MA Primary

Addresses

Primary practice location

677 Cambridge St
Brighton, MA 02135-2802

Mailing address

75 Kneeland St
Suite 204
Boston, MA 02111-1906
Phone (617) 357-0226

Other identifiers 1

IdentifierTypeStateIssuer
1901591MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Greater Boston Chinese Golden Age Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

677 Cambridge St
Brighton, MA 02135
Phone (617) 789-4289

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750406567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 KNEELAND ST",
            "address_2": "SUITE 204",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111906",
            "telephone_number": "617-357-0226",
            "fax_number": "617-426-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 CAMBRIDGE ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352802",
            "telephone_number": "617-789-4289",
            "fax_number": "617-789-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BOSTON CHINESE GOLDEN AGE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOY",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-357-0226",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1901591",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, 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.