Organization Active NPI

Mount Auburn Hospital

Doing business as Mount Auburn Home Care

  • Home Health Agency
  • Watertown, MA
National Provider Identifier
1902880016
Registry record updated May 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2898 Issued in MA
Legal business name
MOUNT AUBURN HOSPITAL
Doing business as
Mount Auburn Home Care
Practice address
1 Arsenal Market PL
Watertown, MA 02472-5018
Phone
(617) 673-1700
NPI assigned
Dec 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2024

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

Authorized official

Name
Mr. Brian Smith
Title
Cfo
Phone
(405) 245-6238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2898 MA Primary

Addresses

Primary practice location

1 Arsenal Market PL
Watertown, MA 02472-5018

Mailing address

1 Arsenal Market PL
Watertown, MA 02472-5018
Phone (617) 673-1700

Other identifiers 4

IdentifierTypeStateIssuer
702015OtherMAHPHC PROVIDER #
803064OtherMATUFTS / SECURE PROVIDER #
0607436MedicaidMA
120023OtherMABX PROVIDER #

Other names 1

  • Mount Auburn Home Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714867200000",
    "number": "1902880016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ARSENAL MARKET PL",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024725018",
            "telephone_number": "617-673-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ARSENAL MARKET PL",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024725018",
            "telephone_number": "617-673-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT AUBURN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "405-245-6238",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "2898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC PROVIDER #",
            "identifier": "702015",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS / SECURE PROVIDER #",
            "identifier": "803064",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0607436",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BX PROVIDER #",
            "identifier": "120023",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Auburn Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.