MOHAMMED EISA (NPI# 1245609064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245609064 |
| Entity Type | Individual |
| Full Name | MOHAMMED EISA |
| Practice Address |
759 Bennington St 1 Boston MA 02128-1133 |
| Practice Telephone | 8048736581 |
| Mailing Telephone | 8048736581 |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
759 BENNINGTON ST 1 |
| City | BOSTON |
| State | MA |
| Zip Code | 02128-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417562976 | Kristen Pompey | Speech-Language Pathologist | 244 Paris St Apt 3e, East Boston, MA 02128 | 2020-09-11 |
| 1073122271 | Candice Elene Newmyer | Nurse Practitioner | East Boston Neighborhood Health Center, 10 Gove St, East Boston, MA 02128 | 2020-07-24 |
| 1881155414 | Lucas Felipe Bastos Horta | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Shapiro Primary Care, Precepting Room, Boston, MA 02128 | 2019-03-27 |
| 1245729763 | Josie A Kramer | Registered Nurse | 213 Webster Street, Unit 1, Boston, MA 02128 | 2018-05-10 |
| 1457875775 | Bremen Physical Therapy | Clinic/Center | 464 Bremen St. Suite 4b, East Boston, MA 02128 | 2017-07-28 |
| 1174907588 | Vivian Karina Ibanez | Specialist | 130 Condor Street, East Boston, MA 02128 | 2015-07-15 |
| 1326459546 | Excel Physical Therapy, Inc. | Clinic/Center | 2 Neptune Rd Suite 171, East Boston, MA 02128 | 2014-05-09 |
| 1427394824 | D.a.w., L.L.C. | Durable Medical Equipment & Medical Supplies | 20 Maverick Sq, East Boston, MA 02128 | 2012-12-13 |
| 1356600019 | Rebekah Bronwyn Sheppard | Doula | 253 Webster Street, Boston, MA 02128 | 2012-05-15 |
| 1629340484 | Shahi Lavail Smart Sr. | Counselor | 512 Border Street, #d, East Boston, MA 02128 | 2012-02-08 |
| Find all providers in zip 02128 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578015038 | Leander House, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 48 West Ave, Great Barrington, MA 01230-1812 | 2016-11-01 |
| 1386901544 | Esther Sterling | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5500 N Main St Apt 15301, Fall River, MA 02720-2077 | 2012-04-12 |
| 1467768812 | Latham Centers, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1646 Route 6a, Brewster, MA 02631-1716 | 2010-08-24 |
| 1699958025 | Judge Rotenberg Educational Center, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 240 Turnpike St, Canton, MA 02021-2359 | 2007-12-07 |
| 1669696860 | Dr. Franklin Perkins School | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 200 Harvard Rd, Lancaster, MA 01523-2505 | 2007-04-12 |
| 1174649081 | Crystal Springs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 38 Narrows Road, Assonet, MA 02702-0372 | 2007-03-22 |
| 1811904394 | Whitney Academy, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 85 Dr. Braley Road, E. Freetown, MA 02717 | 2006-08-01 |
| 1689919516 | Criterion Child Enrichment Criterion-middlesex Early Intervention | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 651 Franklin St, Framingham, MA 01702-2919 | 2012-12-04 |
| 1710111422 | Merrimack Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 365 East St, Tewksbury, MA 01876-1950 | 2009-05-08 |
| 1881898088 | Crystal Springs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 38 Narrows Road, Po Box 372, Assonet, MA 02702 | 2007-06-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.