ELDER SERVICE PLAN
NPI 1225064264
Clinic/Center in Mattapan, MA
NPI Status: Active since June 23, 2006
Contact Information
1135 MORTON STREET
MATTAPAN, MA
ZIP 02126
Phone: (617) 533-2400
Fax: (617) 533-2401
- Organization
- Clinic/Center
- CLIA Number: 22D2130546
- CLIA Cert. Type: Other - PACE PROGRAM
- CLIA Exp. Date: 05-10-2027
About ELDER SERVICE PLAN
This page provides the complete NPI Profile along with additional information for Elder Service Plan, a provider established in Mattapan, Massachusetts operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1225064264 assigned on June 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Elder Service Plan. The authorized official of this NPI record is Mr. Charles T. Jones (President & Ceo)
- NPI
- 1225064264
- Provider Legal Name
- HARBOR HEALTH SERVICES, INC
- Other Organization Name
- ELDER SERVICE PLAN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1135 MORTON STREET MATTAPAN, MA 02126
- Location Phone
- (617) 533-2400
- Location Fax
- (617) 533-2401
- Mailing Address
- 1135 MORTON STREET MATTAPAN, MA 02126
- Mailing Phone
- (617) 533-2300
- Mailing Fax
- (617) 533-2401
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-23-2006
- Last Update Date
- 04-02-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 22D2130546
- Facility Type
- Other - PACE PROGRAM
- Certificate Effective Date
- May 11, 2025
- Certificate Expiration Date
- May 10, 2027
- Laboratory Director
- ILONA KOPITS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Elder Service Plan to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1225064264, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
MATTAPAN, MA 02126
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225064264, enumerated as an "organization" on June 23, 2006.
The provider is located at 1135 MORTON STREET MATTAPAN, MA 02126 and the phone number is (617) 533-2400.
Clinic/Center with taxonomy code 261Q00000X.
