SOUTHWEST BOSTON SENIOR SERVICES, INC. (NPI# 1689708505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689708505 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST BOSTON SENIOR SERVICES, INC. |
| Other Organization Name | ETHOS |
| Practice Address |
555 Amory St Jamaica Plain MA 02130-2652 |
| Practice Telephone | 6175226700 |
| Practice Fax Number | 6175242899 |
| Mailing Telephone | 6175226700 |
| Mailing Fax Number | 6175242899 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DALE P. MITCHELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6175226700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0603805 | 05 |
| Other Name | Type Code |
|---|---|
| Ethos | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295869089 | Southwest Boston Senior Services, Inc. | Point of Service | 555 Amory St, Jamaica Plain, MA 02130-2652 | 2007-03-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SOUTHWEST BOSTON SENIOR SERVICES, INCORPORATED | 555 Amory St., Jamaica Plain, MA 02130 |
| Street Address |
555 AMORY ST |
| City | JAMAICA PLAIN |
| State | MA |
| Zip Code | 02130-2652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386789840 | Southwest Boston Senior Services, Inc | Point of Service | 555 Amory St, Jamaica Plain, MA 02130-2652 | 2007-02-21 |
| 1750925657 | Adam Greenberg | Speech-Language Pathologist | 555 Amory St, Jamaica Plain, MA 02130-2652 | 2019-11-04 |
| 1871141689 | Francesca Bollitier | Psychologist | 555 Amory St, Jamaica Plain, MA 02130-2652 | 2019-08-27 |
| 1275187312 | Brianna Pierre | Social Worker | 555 Amory St, Jamaica Plain, MA 02130-2652 | 2019-07-26 |
| 1750934154 | Kayla Michelle Mcbrien | Music Therapist | 555 Amory St, Jamaica Plain, MA 02130-2652 | 2019-07-24 |
| 1912563032 | Mikaela Bartels | Developmental Therapist | 555 Amory St, Jamaica Plain, MA 02130-2652 | 2019-05-14 |
| 1831752898 | Alison Bouley | Specialist/Technologist, Other | 555 Amory St, Jamaica Plain, MA 02130-2652 | 2019-04-16 |
| 1134680168 | Dayla M Umana | Developmental Therapist | 555 Amory St, Jamaica Plain, MA 02130-2652 | 2019-03-31 |
| 1447723473 | Andrea Falvey | Rehabilitation Counselor | 555 Amory St, Jamaica Plain, MA 02130-2652 | 2019-01-02 |
| 1639654510 | Anastasia Laure Michelle Delfino | Speech-Language Pathologist | 555 Amory St, Jamaica Plain, MA 02130-2652 | 2018-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386789840 | Southwest Boston Senior Services, Inc | Point of Service | 555 Amory St, Jamaica Plain, MA 02130-2652 | 2007-02-21 |
| 1295869089 | Southwest Boston Senior Services, Inc. | Point of Service | 555 Amory St, Jamaica Plain, MA 02130-2652 | 2007-03-15 |
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| Find all providers with the same taxonomy | ||||
| City | JAMAICA PLAIN |
| Zip Code | 02130 |
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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.