ELDER SERVICE PLAN
NPI 1225064264
Clinic/Center in Mattapan, MA

Active since June 23, 2006CLIA Certified · 2 labs
1135 MORTON STREET, MATTAPAN, MA 02126(617) 533-2400(617) 533-2401 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elder Service Plan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELDER SERVICE PLAN (NPI 1225064264) is a healthcare organization registered as a clinic/center in Mattapan, Massachusetts and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates and lists Charles T. Jones, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1225064264
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameHARBOR HEALTH SERVICES, INC
Location Address1135 MORTON STREETMattapan, MA 02126-2834
Mailing Address1135 Morton StreetMattapan, MA 02126-2834 · (617) 533-2300 · Fax (617) 533-2301
Fax(617) 533-2401
Organization SubpartNo
Authorized OfficialCharles T. JonesPresident & Ceo · (617) 533-2350
Enumeration DateJune 23, 2006
Last NPPES UpdateApril 2, 2020
NPPES CertifiedApril 2, 2020
NPI 1225064264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1135 MORTON STREET, Mattapan, MA 02126

Other Names 1

Doing Business AsElder Service Plan

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D0973486

Elder Service Plan Of Harbor Health SE Mattapan · Mattapan, MA
Active · expires Jan 12, 2027
CLIA Number22D0973486
Laboratory TypePace Program
Certificate Effective DateJanuary 13, 2025
Certificate Expiration DateJanuary 12, 2027
Laboratory DirectorIlona Kopits
Laboratory Phone(617) 533-2400
Laboratory LocationElder Service Plan Of Harbor Health SE Mattapan1135 Morton St, Mattapan, MA 02126
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 22D2130546

Elder Service Plan Of Harbor Health SE Brockton Brockton · Brockton, MA
Active · expires May 10, 2027
CLIA Number22D2130546
Laboratory TypePace Program
Certificate Effective DateMay 11, 2025
Certificate Expiration DateMay 10, 2027
Laboratory DirectorIlona Kopits
Laboratory Phone(617) 533-2400
Laboratory LocationElder Service Plan Of Harbor Health SE Brockton Brockton479 Torrey St, Brockton, MA 02301
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
1135 MORTON STREET
MATTAPAN, MA 02126
Nurse Practitioner
1135 MORTON STREET
MATTAPAN, MA 02126

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harbor Health Services, Inc's NPI number?

The NPI number for Harbor Health Services, Inc is 1225064264. It was assigned to this organization in the NPPES registry on June 23, 2006. The provider is doing business as Elder Service Plan.

Where is Harbor Health Services, Inc located?

Harbor Health Services, Inc is located at 1135 Morton Street, Mattapan, MA 02126. The listed phone number is (617) 533-2400.

What is Harbor Health Services, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Harbor Health Services, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Harbor Health Services, Inc was last updated on April 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.