Mount Pleasant Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

1096 (DEPT PUB HLTH) Issued in MA

Legal business name

MOUNT PLEASANT HOME

Practice address

301 S Huntington Ave
Jamaica Plain, MA 02130-4807

Phone

(617) 522-7600

Fax

(617) 522-0201

NPI assigned

Sep 26, 2005

Organization subpart

No

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

Authorized official

Name

Merlin Southwick

Title

Executive Director

Phone

(617) 522-7600

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942296793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S HUNTINGTON AVE",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304807",
            "telephone_number": "617-522-7600",
            "fax_number": "617-522-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S HUNTINGTON AVE",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304807",
            "telephone_number": "617-522-7600",
            "fax_number": "617-522-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT PLEASANT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOUTHWICK",
        "authorized_official_first_name": "MERLIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-522-7600"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MA",
            "license": "1096 (DEPT PUB HLTH)",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5500923",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly J Morrison, MD
• Meghan Lynch Morse, R.D., L.D.N.
• Ladina Mosby
• Julianne Mosher
• Donald M Moskowitz, LICSW
• Amy Roan Moy, OD
• Mspcc
• Janet Hunt Mudarri, RN MS CRRN
• Pamela A Mullins, LMHC, LADC
• Syeda Nafisa Munawarah

• Adult Care Home Facility in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Adult Care Home Facility in Massachusetts

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.