Organization Active NPI

Suburban Home Care Medride

  • Non-emergency Medical Transport (VAN)
  • Boston, MA
National Provider Identifier
1770608341
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SUBURBAN HOME CARE MEDRIDE
Practice address
1050 Commonwealth Ave
Suite 300
Boston, MA 02215-1109
Phone
(781) 599-5200
Fax
(781) 592-7839
NPI assigned
Mar 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Michael J Roper
Title
President
Phone
(781) 599-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

1050 Commonwealth Ave
Suite 300
Boston, MA 02215-1109

Mailing address

1050 Commonwealth Ave
Suite 300
Boston, MA 02215-1109
Phone (781) 599-5200

Other identifiers 1

IdentifierTypeStateIssuer
1720767MedicaidMA

National Provider Directory

National Provider Directory

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": "1770608341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 COMMONWEALTH AVE",
            "address_2": "SUITE 300",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151109",
            "telephone_number": "781-599-5200",
            "fax_number": "781-592-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 COMMONWEALTH AVE",
            "address_2": "SUITE 300",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151109",
            "telephone_number": "781-599-5200",
            "fax_number": "781-592-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN HOME CARE MEDRIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROPER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-599-5200"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720767",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, 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.