Prospect House in Revere - Assisted Living Facility
Prospect House - NPI 1962625392
Prospect House is a Assisted Living Facility in Revere, Massachusetts. Prospect House practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Prospect House is 1962625392. The last update date is 2020-08-22.
Prospect House's current location address is 420 Reservoir Ave, Revere, Massachusetts. You can contact this provider via phone number 7818530005. The mailing address for Prospect House is 420 Reservoir Ave, Revere, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prospect House |
|---|---|
| Address | 420 Reservoir Ave, Revere, Massachusetts |
| Phone Number | 7818530005 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bertram Shawn |
| Telephone Number | 7818530005 |
NPI Number Detail
| NPI Number | 1962625392 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 420 Reservoir Ave |
|---|---|
| City | Revere |
| State | Massachusetts (MA) |
| Post Code | 21515819 |
| Phone Number | 7818530005 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1905139 | MA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Prospect House by the Centers for Medicare & Medicaid Services?
The Prospect House has been issued the NPI (National Provider Identifier) 1962625392. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Prospect House?
The Prospect House is physically situated at 420 Reservoir Ave, in the city of Revere, state of MA, with the postal code 21515819.
What is Prospect House's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Prospect House is Assisted Living Facility, and the taxonomy code that classifies this field of practice is 310400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1962625392 to Prospect House?
The Prospect House received its 1962625392 assignment from the Centers for Medicare & Medicaid Services on 2007-04-11.
As of what date were the details pertaining to Prospect House last refreshed?
The information related to the Prospect House, including its address, specialty, and other relevant details, was last updated on 2020-08-22.