ELDER SERVICE PLAN
NPI 1225064264
Clinic/Center in Mattapan, MA
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elder Service Plan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
75Medicare enrollment records show 75 clinicians reassign Medicare billing to Elder Service Plan, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 40 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 75Boston, MA 02115
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MACertificate of Waiver 22D2130546
Elder Service Plan Of Harbor Health SE Brockton Brockton · Brockton, MAFrequently 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.
Is Harbor Health Services, Inc enrolled in Medicare?
Yes. Harbor Health Services, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Harbor Health Services, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 75 clinicians in 17 Medicare specialties reassign their Medicare billing to Harbor Health Services, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (23), Dentist (11) and Family Practice (10). Of these, 2 practice at this address and 40 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Elder Service Plan · NPI 1225064264
Clinic/Center organization in Mattapan, Massachusetts. Organization record, active in the CMS NPPES registry since June 23, 2006.
## Identity
- **NPI:** 1225064264 (Entity type: Organization)
- **Enumerated:** June 23, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Harbor Health Services, Inc
- **Organization subpart:** No
- **Authorized official:** Charles Jones, PRESIDENT & CEO
## Practice location
- **Address:** 1135 MORTON STREET, Mattapan, MA 02126-2834
- **Phone:** (617) 533-2400 · **Fax:** (617) 533-2401
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 75 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (23), Dentist (11), Family Practice (10); 2 practice at this address and 40 within 10 miles; [full list](https://npiprofile.com/npi/1225064264/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 2, 2020
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225064264) · Data from the CMS NPPES public registry.