Pine Street Inn, Inc. in Dorchester Center - Residential Treatment Facility, Physical Disabilities

Pine Street Inn, Inc. - NPI 1639337280

Pine Street Inn, Inc. is a Residential Treatment Facility, Physical Disabilities in Dorchester Center, Massachusetts. Pine Street Inn, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Physical Disabilities. The NPI Number for Pine Street Inn, Inc. is 1639337280. The last update date is 2008-05-30.

Pine Street Inn, Inc.'s current location address is 28 Rockwell St, Dorchester Center, Massachusetts. You can contact this provider via phone number 6178928802 and fax number 6178259020. The mailing address for Pine Street Inn, Inc. is 28 Rockwell St, Dorchester Center, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pine Street Inn, Inc.
Address 28 Rockwell St, Dorchester Center, Massachusetts
Phone Number 6178928802
Fax Number 6178259020
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF FINA
Authorized Official Name Gagne B Terrence
Telephone Number 6178929116

NPI Number Detail

NPI Number 1639337280
Provider Enumeration Date 2008-05-30
Last Updated Date 2008-05-30

Provider Mailing Address Detail

Address 28 Rockwell St
City Dorchester Center
State Massachusetts (MA)
Post Code 21244438
Phone Number 6178928802
Fax Number 6178259020

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Physical Disabilities
Taxonomy 320700000X
Definition:
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1803492 MA --

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FAQs about Pine Street Inn, Inc.

What is the unique 10-digit identifier code assigned to Pine Street Inn, Inc. by the Centers for Medicare & Medicaid Services?

The Pine Street Inn, Inc. has been issued the NPI (National Provider Identifier) 1639337280 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Pine Street Inn, Inc. is physically located?

The Pine Street Inn, Inc. is situated at the following address: 28 Rockwell St, Dorchester Center, MA 21244438.

What is Pine Street Inn, Inc.'s area of expertise and its corresponding taxonomy classification?

The Pine Street Inn, Inc.'s field of specialization is Residential Treatment Facility, Physical Disabilities, and it falls under the taxonomy code 320700000X, which categorizes healthcare providers based on their areas of practice.

When did the Pine Street Inn, Inc. receive its 1639337280?

The Pine Street Inn, Inc. was issued its 1639337280 on 2008-05-30, which is the date when the organization was assigned this unique identifier.

When was the Pine Street Inn, Inc.'s information last updated?

The Pine Street Inn, Inc.'s information was last updated on 2008-05-30.

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